HomeMy WebLinkAboutREROOF PERMIT APPLICATION - 6006 TRAVELERS WAY .pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ 2-3-2022 Permit Number.
S T LLL CLL
L- L ` L` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: REROOF
PROPOSED IMPROVEMENT LOCATION:
x
Address: 6006 Travelers WAY Fort Pierce 34982
Property Tax ID #: 3410-503-0105-000-$ _____ _-__- _ Lot No. 9
Site Plan Name:
Project Name;
DETAILED DESCRIPTION OF WORK:
MOVE SH
INSTALL PEEL & STICK UNDERLAYMENT FL2569
Block No. D
INSTALL SHINGLE FL10674 _ _ INSTALL RIDGEVENT NOA NO. 19-1217.03
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical — Gas Tank _ Gas Piping — Shutters
Electric ` Plumbing — Sprinklers
Total 5q- Ft of Construction: 2148
Cost of Construction: $ 10900
OWNER/LESSEE:
Name David L Robbins Jr
Address: 6006 Travelers WAY
_ Generator
Sq. Ft. of First F€oor
Windows/Doors Pond
X Roof 5112 Pitch
2148
Utilities: —Sewer _Septic Building Height: 8 FT
City; FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. E-
mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: ROLAND WILEY
company: SHORELINE ROOFING
Address: 1973 SW GLENDALE STREET
City; PORT ST LUCIE State: FL
Zip Code: 34987 Fax:
Phone No 772-260-9565
E-Mai (SHORE Ll N E ROOFING@YAH OO. COM
State or County License CCC1331170
If value of construction Is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name- _
Address:
City:
Zip:
EER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Phan
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: — Phone:
State:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments,
The following building permit applications are exempt from Undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARN ING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and pasted on the jobsite before the first inspection. If you intend to obtain financing, consult
with fPndPr cw an attorney before commencine work or recording vour Notice of Commencement.
r
Signature of Owner/ Lessee/Contractor asQgent for owner
STATE OF FLORIDk-� ,
COUNTY OF
SwornXo (or affi d) nd subscribed befgr.p me of ,{ Physical Presence or Online Notarization
this,?day off � 20 by
J
Name of person making stawment.'
Personally known OR Produced Identification
TyR of Identification Prodpced
D y M 00 R E
(Signature of Not ry Pubfic- State of Florida)T-7-
lic-Simla ❑t Fia�idaCommission
i0n # HH 10839`�mission
Na. Jaly
Expiresy
09. 2025
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Rev 5720/21