HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CON TED FOR APPLICATION TO BE ACCEPTE[; /x�11 (���? J
Date: Permit Number: 1810--cal I
max,. RECEIVED
' DEC 18 2010
Building Permit Application Permitting Department
Planning and Development Services St. Lucie county
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential —�
PERMIT APPLICATION FOR: Roof
F
Address: 3 C7 9 3 I--V" a cr e, Ay L_ Psi, 3 9 9 8'3 Una
Legal Description: R cvs.,f P &e K Uvl i-(- '�`l P3 L K 3 �1- 1 o - 3 (o
Property Tax ID #: 3 (40 - 53 0 - 00 3 (o - 000 - G{ Lot No. 3 G
Site Plan Name: Block No. 3 °�
f�
Project Name: R ra f2uO-o f
Setbacks Front Back: Right Side: Left Side:
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Complete removal of existing material down to deck, renail to code, instal new self adhered
underlayment and metal roof a ly rn odi fi' t a S Le w k- opt t-e'p"
on Jr roof.
ti _
151T€U70(i4Vlr _u r ...s ?..,.
Additional worK to 11a Jerorme un ert ispermit-c ec all appy:
E1HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator R1 Roof Roof pitch
Total Sq. Ft of Construction: 3 L , SCFt
FFtt.I of First Floor:
Cost of Construction: $ 1 g i 2 DO Utilities: LJSewer Septic Building Height:
g a�� n } nS .x''i• 4Kgi %' ( +;
{i Lu.
.� uSx aE 9hk ,e3 A _. keo- .
Name IQiGLtara K;ttrel
_ JJyy� ,r�+ri.�-t ,uM tppa�a`v� v 1 tS9{ ...r *`e'G"4`L
0, ..$ e I 5e..xxm—
Name: DounlasF. Rna
Address: 301 Se Vt.re-d4 AV-0
Company: Code Red Roofers
City: Pork S'l-, LVC 1i-c State: FL
Address: 3341 SE Slater St.
City: Stuart State: FL
Zip Code: 3 Y't 8 3 Fax:
Phone No.
Zip Code: 34997 Fax: 772-287-7763
Phone No. 772-287-2829
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail: iohn@coderedroofers.com
State or County License: CCC1326574
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Add1
City:
Zip:.
FEE SIMPLE TITLE HOLDER:
Name:
State:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
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 concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
rnmmencing work or recordine vour Notice of Commencement.
Si nature o Les a/Contractor as Agent for Owner
Sifnat�bfe of Ge tractor/License Holder
STATE OF FLORIDA
STATE OF FLORID/k.
COUNTYOF Aftc*t,.
COUNTYOF AAJ
The for -going instrument was acknowledge before me
r
The forgoing instr ent was acknowledgedpefore me
this f t1 dayy`off �CGH4_lt_�j P/ 20�fi by
this 1M da0of p`` L 6.tr 201 by
'fin/�-
Name of person making statement
Name d4erson making statement
:
Personally Known OR Produced Identification 4
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced Putt
Produced
(Signature of IN ublic- State of Florida)
a}
(Signature of No yQ lic- State of Florida )
Commission No. tl 626O(ett 7 (Seal)
Commission N . UCo 2 40 feG 7 (Seal)
<0",% JOHN J. SAVAR
SE
REVIEWS
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0667
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COUNTER
RE
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REVIEW
DATE
RECEIVED
�J
DATE
COMPLETED
Rev.8/2/17