HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,TO '$— d Jo
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• AUG 2 ® 2918
Building Permit Application
Plannil' and Development Services PermittingDepartment
I and Code Regulation Division St. L�ICIe-�,y'L
2300 V rginia Avenue, Fort Pierce FL 34982
Phone;' �(772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
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PROPQ1SED IMPROVEMENT LOCATION:
Address:1102 NE Entrada Ave
Legal De',' ription: River Park Unit 3 - BLK 3 Lot 15
Property ax ID #: 3419-515-0018-000-5 Lot No.15
Site Plan ` ame: Block No. 3
Project N e: Richmond Reroof
Setbacks Front Back: Right Side: Left Side:
DETAIL iD DESCRIPTION OF WORK:
Remove �isiting material down to deck, re -nail to code, install self adhered underlayment, Install 26g
5V metal panels.
CO'NSTRQ&ION INFORMATION:
Additional #,ork to be nertormed under this permit —check all apply:
0_Gas Tank ❑Gas Piping _Shutters U Windows/Doors
Elect Ic I Plumbing Sprinklers Generator R1 Roof o? /� Roof pitch
Total Sq. Ft 1f Construction: 1427 S . Ft. of First Floor: 1427
Cost of Cons ruction: $ 9765 Utilities:�Sewer Septic Building Height: 12
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'OWNER) ESSEE:
CONTRACTOR:
INameTLC L C
Name: Douglas E. Roe
Address:159NE South St
Company: Code Red Roofers
Address: 3341 SE Slater St
(City.. Jensen' Oeach State:FL
IZip Code: 34 57 Fax:
City: Stuart State: FL
Phone No. 77 -285-8286
Zip Code: 34497 Fax:
E-Mail:
Fill in fee sim lle Title Holder on next page if different
fi om the Owrjl r listed above)
Phone No. 772-2872829
E-Mail: permitting@coderedroofers.com
State or County License: CCC1326574
value of cons#uction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPP, EMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIG ER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Named
Name:
Addre" :
Address:
City: I State:
City: State:
Zip: Phone
Zip: Phone:
FEE SI '" PLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:','
Name:
Addres
Address:
City: l'
City:
Zip: Phone:
Zip: I Phone:
OWNER, CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify tH t no work or installation has commenced prior to the issuance of a permit.
St. Lucie C' myy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in I onflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure.. ease 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 accordan a with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The followi `ilg building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory s�uctures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WART TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improve ents to your property. A Notice of Commencement must be recorded and posted on the jobsite
before th "1 � first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenc, g worlybr recordingAour Notice of Commencement.
f n'ata e°o • wn Lessee ontractor as Agent for Owner
Sign'-atTre of Contractor/ icense Holder
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STATE O FLORI
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STATE OF FLORIPA
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The for oin' instru ent was ac nowledgfore me
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Name f p rson aking statement
Personally own OR Produced Identification
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Personally Kn wn OR Produced Identification
Type of Ide ifi tion
Type of Identification
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(Signatur o Notary Public- Stat o FI ri a)
(Signatur)of Notary Public- Staatt/e�of lori )
Commission' o.a(Seal)
Commission No. 66XQ% (Seal)
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