HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
a•5 ,% ���� n Permit Number:
BY
Q. LLud"a cD),P&
Building Permit Appli
Plann'ng and Development Services
euild►Pg and Code Regulation Division
230011/irginia Avenue, Fort Pierce FL 34982
Phones : (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Roof — y�d� - V, .'._
PRO OSED IMPROVEMENT LOCATION:
Addre 1 204 Riomar Dr port st lucie fl
Legal escription. RIVER PARK -UNIT 3- BLK 23 LOT 5
(MAP 34/22S) (OR 412-1551) (OR 3809-2021: 3809-2062: 3915-1655)
Prope y Tax ID #: 3419-515-0095-000-8
Site PI n Name:
Projec I Name:
Setba ks Front Back:
i III DET4,',ILED DESCRIPTION OF WORK:
Right Side: Left Side:
z
ST_ Lucie County, Permitting
Residential xxx
Lot No.5
Block No. 23
Remov flat roof only to bare wood Replace all rotten wood per code. Install Nailable glass base. Install bonded mid ply sbs sa No nails.
install Dip edge + valley metal.
install b nded app-sa granulated cap ply.
Re shin lie tie in to existing shingle roof.
CON ,TRUCTION INFORMATION:
iti Dnal work to j rtormed under this permit —check all apply:
1 VAC L_J Gas Tank ❑Gas Piping In Shutters ❑ Windows/Doors
lectric 0 Plumbing Sprinklers I Generator W1 Roof 2/12 Roof pitch
Total
Cost
I. Ft of Construction: 600
Construction: $ 3800
S Ft. of First Floor: _
Utilities:'n Sewer 0 Septic
Building Height:
OW
'ERAESSEE:
CONTRACTOR:
NameLinda
Address:
City: Filort
Zip C ,ode:
Phone
E-Ma
Fill in
the
11
Collins
Name: Michael Williams
Company: Faithful Roofers LLC
Address: 712 sw general Patton terr
City: port st lucie State:Fl
Zip Code: 34953 Fax:
Phone No. 7726340610
E-Mail: Michael@Faithfulroofers.com
MichaelFaithfulroofers.comee
State or County License: ccc1331265
s204 Rio mar dr
st lucie State fl
34952 Fax:
No.7726340610
I:
simple Title Holder on next page (if different
l
Owner listed above)
If value; of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DE
Name:
Ad'
Cit
Zip
IGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
ress:
State:
Phone
FEE.
Na
Ad
Cit
Zip
SIMPLE TITLE HOLDER: _ Not Applicable
e:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
ress:712 sw general Patton terr
Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cert fly 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
stru ire. 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 f Ilowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acces ory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAF KING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr Dvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befoO the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comiinencing work or recording vour Notice of Commencement.
of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Ho
STATE OF FLORIDA STATE OF FLORIDA
C6lbNTY OF k . \.y c`n a COUNTY OF
The orgoing instry�ment was acknowledge before me The for oing instrument was acknowledged before me
this � day of J NlNj 20 by this day of �U\� , 20� by
Name of person making statement Name of person making statement
Pers
onally Known OR Produced Identification Personally Known OR Produced Identification
Tyof Identification Type of Identification
PrL Produced '� L L
(Signature
of Not,:
._y...
DEANNA
`�
EGNENS
(Signature of N
,„„
DFANNAiAR NENS
Commission
j MY COMMIS N(��' 022023
No. 2020
,,.•� ;;:�'••,,
Commission No :N. &
COMMISSION 023
�20
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Public Undenxrters
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VIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
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MANGROVE
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COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
IVED
Rev. 8/2/17