HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�—�
All APPLICABLE INFO MUST COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / Permit Number: AM- 015LI
Building � �*
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Planning and Development Services
Building and Code -Regulation Division
ZJOVVirginia Avenue, Fort Pierce FL3498Z
Phone- (77J)4DJ`135JFax: (77I)46Z'1378 Commercial
7207�b�n�hTeruace Port F|ohdn34SDU
Address: ` '
PmpertyTax|D#: 3321-805-0024-000-0
Site Plan Name: N/A
Project Name: N/A
"on FEA@020|q
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COUnty, Permitting
Residential
LotNu.59
Block No. N/A
Complete removal & Disposal of current roof coverings, Install new step flashing, counter flashing, new shingles
Install new roof penetration floahinge. Detach & reset all additional components asneeded. Replace Gutter 3O'
length left side ofgarage, 8".peel and stick inall valleys.
Additkona|work tubeperformed under this permit —check all that apply:
—Mechanical __GasTank Gas Piping __Shutters —Windows/Doors
__Electric __Plumbing __Sprinklers __Generator ___Roof 4^6/12 Pitch
Total Sq. FtofConstruction: 2010
Cost ofConstruction:$08'ODO.0O
N/A�.P��RotFkmc__
Utilities: —Sewer _Septic Building Height: N/A
IV
Name Wilford and Charlotte Clark
Name: Philip Coutu
Address: 7207 Marsh Terrace
Company: DBA Rooftop Roofing, Inc
City: Port St. Lucie State:
Zip Code: 34986 Fax:
Phone No. 949-439-1162 cell
Address: 108 Escalona Ave
City: Pensacola State: FL
Zip Code: 32503 Fax:
Phone No 720-296-3492
E-Mail:—
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail powerappraisers@gmail.com
State or County License -#t52665e—
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCnON LIEN LAW INFORMATION:
DESIGNER/ENGINEER
_NotAppiicab)e
MORTGAGE COMPANY:
=Not Applicable
Name:
Address:
Zip ' Phone
State:.__
Name:
Address:
City:
Zip: Phone:'
_ State._
FEE -SIMPLE TITLEHOLDER:
_Not Applicable
BONDING COMPANY_
_NotApp)icable
Name,
Name:
Address•
Address.
tr
Zip: Phone'
Zip Phone:
OWNER/ CONTRACTOR AFFIDiO: Appiiotion isbereby made to obtain a permit to do the work and installation as indicted.
I certify that no work or Instal[atiun has commenced prior to the issuanceof a permit.
In consideration of the granting of this requested permit, ) do herebyagree that I will, in all respects, perform the work'
In accordance with the approved plans, the Florida Building Codes and SL lade County Amendments.
The following bultding permit appiimtions are exempt undergoing a full mnourency review: room additions,
ary accessstructures, swimming pools; fences, walk sipRscreen rooms and aaessory—to another nor-residential"use
WARNING TO OWNER-. Your failure to Record a Notice of Commencement may resuitin your paying twice f
The forgoing instrumentwas admowtedged before me
this l r"Hayof G6�2kaby
The forgpinginstrumgntwas acimowledged before me
thisJPdayof t•egM 20 9_by
Name ofpe}son makingstatement
Commission No3o13ND3403ti (Seal) Commission No 20Ff Nf13943y (Seal)
REVIEWS FRONT ZONING' SIIPERV150--R' PLANS'' VEGETATION' SFATURTLE MANGROVE
COUNTER REVIEW .REVIEW REVIEW REVIEW' I REVIEW'.. REVIEW
Roofto ��--
p Roofing,
State Cert. Roofing Inc'
State Cert. B.Uctin Contractors
State Cert. Li
c p CCC1326630
rs
State Cert. Lic # CBC1259205
Office (772) 201-3888 Dominic
John Dickerson r'
Foreman / Rooftech GV Q,t 5
(772) 475-3867®� �JQ