HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
0
s 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
PERMIT APPLICATION FOR: Re Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5704 Palm Dr, Fort Pierce, 34982
Property Tax ID #: 3402-609-0363-000-4
Site Plan Name: NIA
Project Name:
X
Lot No.5
Block No. 62
I DETAILED DESCRIPTION OF WORK: I
We will tear off the existing roofing system, nail the decking to the current code, apply a
secondary water resistant barrier along with a 5-v metal roofing system.
New Electrical Meter N/A Second Electrical MeterN/A
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank —Gas Piping _ Shutters Windows/Doors Pond
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 1500
Cost of Construction: $ 8,800,00
Generator Roof 4112
Sq. Ft. of First Floor: N/A
Pitch
Utilities: _ Sewer _ Septic Building Height: 15
OWNER/LESSEE:
CONTRACTOR:
Namejoan Baumberger
Name: Christopher Collins
Address:5704 Palm dr
Company:Co[[ins Roofing Inc.
Address: PO Box 12867
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No. 772-468-9276
City: Fort Pierce State: FL
Zip Code: 34979 Fax: N/A
Phone No 772-940-8607
E-Mail,joanbaumberger6401@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail collinsroofinginc@gmail.com
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
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 pe lications are exempt from undergoing a full concurrency re ' room additions,
accessory structu swimming p Is Ils, signs, screen rooms and access uses to anoth . no i ential us
WARNIN O OWNE • our f ilure to Rec d a Notice of Commen ent may result i a ing twice for
im ovement o your p perty. A Na ice of Commence t must be reco ed in he public records of St.
Cie Coun a ost on th p bsi a before the first i pection. you i In financing, nsult
with len r a re mmencin work recordi o r ce omrrie ent.
S re r/ Le Contractor as Agent for Owner
Si ur Contrac o der
STATE OF FLORIDA
STATE OF FLORID!'�J`
COUNTY OF
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
�hysical Presence or Online Notarization
Sworn to (or affirmed) and subscribed before me of
—Physical Presence or Online Notarization
this day of _ 2020 by
����dG
this day of 2020 by
Na a of perso making statement.
Name of pers n making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificati
Type of Identifica
Produced
Produced
(Sign o y Public- State of FI n a L
(Signature of Notary Public- State of Florida J
1C ,, MICHELLE CAVIL
Commission No.86� // i N $blic - State of Florida
�' commission q HH 152444
`�? or My Comm. Expires Sep 29, 2025
•
Commission No.
! �:, MICHELLE CAVIL
r?P �r ; votary Public - State of Florida
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Rev.5/6/20