HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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`" ' ° 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
PROPOSED IMPRO ATION:
Address: 5710 BIRCH DR
Property Tax ID #: 3402-609-0406-000-8 Lot No.8/9
Site Plan Name: N/A Block No. 63
Project Name:
DETAILED DESCRIPTION OF WORK:
We will tear off existing roofing system, nail the deck off to current code, apply secondary water-resistant barrier,
along with 5V metal roofing system.
New Electrical Meter N/A Second Electrical Meter N/A
CONST
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: 2000 Sq. Ft. of First Floor: N/A
Cost of Construction: $ 16,670.00 Utilities: _Sewer _Septic Building Height: 15ft
.SSE : , ,
CO
Name Krystina Bowman
Name: Christopher Collins
Address:5710 Birch or
Company: Collins Roofing Inc.
City: Fort Pierce State: _
Address: PO Box 12867
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.772-361-2292
Zip Code: 34979 Fax: N/A
E-Mail: KMB1092010@gmail.com
Phone No 772-940-8607
Fill in fee simple Title Holder on next page ( if different
E-Mail collinsroofinginc@gmail.com
State or County License CCC-058011
from the Owner listed above)
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 INFORM:
DESIGNER/ENGINEER: r 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 permit applications are exempt from undergoing a full con re eview: room dditions,
accessory structur im pools, fences, walls, signs, screen rooms and acce ry uses to another n n-resi a use
WARNING OWNER: Y I ure to Recor a Notice of Commen ment may result in pa twi for
im vements to y property. A Noti of Commence t must be re ed i bli records f St.
L ie County a ted the ' efore the first i pection. nten tarn fin g, nsult
ith lender n for b r o mencin work o recordin N f 'tom en
na of Ow es Contractor as Agent for Owner
ature ontract o der
STATE OF FLORID�"
COUNTY OF �i' l.f a;i2
STATE OF FLORI
COUNTY OF (.('CC19
Sworn,WTor affirmed) and subscribed before me of
Sworn or affirmed) and subscribed before me of
y al Presence or Online Notarization
this ay of � �, 2027-by
_ al Presence or Online Notarization
this day of _, 2027by
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Name of person making itatement.
Name of person makinA statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificatia
Type of Identificat�p
Produced
Produced
(Signature of Notary Public- State of Flor a)
ppy Rebekah Hoy
Commission No. �O � A TARY PUBLIC
o STATE OF FLORIDA
=Comndf GG294610
(Signature of Notattryyy Public- State of Flor" a)
1NR Rebekah Hoy
Commission No. TARY PUBLIC
a o S ATE OF FLORID
Comm#GG294610
0N E le e E
KPires 2/17/202
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xpires 2/17/202
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