HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
94 [LULLL R
` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re Roof
PROPO§J&WR9NJJhNJW
Address: 1201 Savannah Dr
Property Tax ID #: 3402-609-0399-000-5 Lot No.1
Site Plan Name: N/A Block No. 64
Project Name: Detached Garage
DETAILED DESCRIPTION OF WORK:
Tear off the existing roofing system on the detached garage. Nail the deck off to current code
Apply secondary water-resistant barrier along with 5-v metal roofing system.
New Electrical Meter N/A Second Electrical Meter N/A
CONSTR
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof 4/12 Pitch
Total Sq. Ft of Construction: 760 Sq. Ft. of First Floor: N/A
Cast of Construction: $ 18,330 Utilities: -Sewer Septic Building Height: 15ft
OWNER/LESSE
.,
Name Robert Boris
Name: Christopher Collins
Address:1201 Savannah St
Company:Collins Roofing Inc.
City: Fort Pierce State: _
Address: PO Box 12867
Zip Code: 34982 Fax:
City: Fort Pierce State: FL
Phone No.904-347-3712
Zip Cade: 34979 Fax: N/A
Phone No 772-940-8607
E-Mail:raborisllc@gmail.com
Fill in fee simple Title Holder on next page ( if different
E-Mail collinsroofinginc@gmail.com
from the Owner listed above)
State or County License CCC-058011
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.
SUPPLEMENTAIL CONSTR m"
A7f
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 concurrent m additions,
accessory structures, swim in pools, fences, walls, signs, screen rooms and acce uses to another on -residential use
WARNIN WNER: Yo e o ec a Notice of Comme ement may res pa ing twice for
im vements t ur� roperty. A Notic of Commence ent must be r orded i the public recor s of St.
cie Count d posted on the jobsite b fore the firs nspection. If u i financing consult
with Ipnrl nr-- at r1n hef�raznm encin¢ war or recordine ommeoeemen
Si r wner Contractor as Agent for Owner
Signatur o Contractor tcense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Sl= Luck
COUNTY OF S 11)C.Ce
Swor�o (or affirmed) and subscribed before me of
Sworn�4for affirmed) and subscribed before me of
✓Physical Presence Online Notarization
✓ Physical Presence or Online Notarization
this day of DLNOA--� 202>Slby
or
this day of M, r_ '�_ 202ULby
('h (i�Dhr� rz) t i� c
ffea&lW� let s
Name of —person makinO statement.
Name of person m king statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification L�
Type of IdentificaY
Type of Identificatio
Produced t--
Produced =—
(Signature of Notary Public- State of Flor' 4 Rebekah Hoy
(Signature of Notary Public- State of Flo r) Rebekah Hoy
/ NOTARY PUB
Commission No. S STATE OF FL
IC �� ,^ r�� a NOTARY PUBLI
FIMMmission No. � STATE OF FLO
Comm# GG2
10 Comm# GG2946
S/ 0
9
Expires 211772
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Rev.5/b/20