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HomeMy WebLinkAboutROOF PERMITDate�T�'►._ Ol.� r° y (.Rpp.. 1. 04 Due: {- Permit # S� St. Lucie County Building & Zoning 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 Tel. 772-462-1553 APPLICATION FOR ROOF PERMIT SEE REVERSE SIDE FOR nINSTRUCTIONS Location/,Site Address: %?,�c� �� '�iy0�A1S/' K If! 2 ,�2 SCANNE® Parcel ID Number: 4%5'09 -- 0O,S - 0010 — Ott©— 8 RT ie County 0314-CP 0 K- (ter- . Office Use Sect ownship Range I Ma Page I Zoning Land Use I Initials Only q ­4— m+i 3. Description of Projector Work Activity: 4. Total Roof Area (square feet): �.3 5. Roof Pitch: �311 z I 6. Type of Roof: ❑ Fiberglass Shingle ❑Barrel/Tile Ceramic ❑ Wood Shake Shingle []Tar & Gravel ❑ Modified Bitumen ® Metal ! ❑ Other (specify) N.O.A - Product Approval required for All Types of Roofing Material EJ All Commercial Roofing Requires Design by an Engineer or Architect (two Sets) 7. Owner Information 8. Contractor Information Name: I %M Bj R D51; L. ,ARI'JO U Q FL Reg/Cert #: �f 03 3 ;70 Address: Ziy0iAk R Ivet, D& County Cert#: j LP I a� City: ; Ej7t c( && cl State: F / Business Name: /ufiT16W' ,,4l OWWFT ®FG�ii2 F� Zip: I"3 Phone: M-27-q-$YD5-' Phone 9o4-33T3i00 Fax 410- 53Q-�Z2S- Gerald �o-7•�t��-1$4� 9. Value 'of Construction: $ ,S.Sd Note: Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regulating construction and zoning. laWki A)/UQ RINT QUALIFIERS/OWNERS NAME SIGNATURE OF QUALIFIER/OWNER STATE OF FLORIDA, COUNTY OF ^ ^ _ e ACKNOWLEDGED BEFORE ME THIS f DAY OF 203Y 7SIATURE OF OTTITLE: NY PUBLIC St. Lucie County Roof Permit Application rev. 7/18/05 dmg WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED IDENTIFICATION.\�1,�i ��,�N. PE OR PRINT NA44B OF NCIARC( / /Q� off' k�xr sc r 72, 261I3 COMMISSION NUMBER U L � O