HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST(BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �-��� I +J Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
PRC)POOSED IIV,PROUEMENT LQCATIO;N;
Address: 1077 Nettles Blvd,Jensen Beach
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 1077 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 836-1821;3103-1949;1951)
Property Tax ID#: 4502-501-1264-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Re-roof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Remove existing roof material to deck; renail to code. Install 301b ASTM D226 felt. Install new 5 v
metal roof.
C(3NSTRUCTION INFORMATION
Additional work toFe—p—e-ffoo-rmed under this permit—check a appy:
11HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
11 Electric 1:1 Plumbing Sprinklers M Generator Roof
Total Sq. Ft of Construction: Ka-7 S . Ft. of First Floor:
Cost of Construction:$ 00 Utilities:-Sewer[]Septic Building Height:
Ci\NNERf LESkSEE CONTRACTOR
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Name Thomas Szlyk Name: Douglas E Roe
Address: d6-&W / ka&3vreD/ r9l Company: Code Red Roofers Inc
City: -Impsep 136igeh/U6 IM �526te_h State:FL Address: 3341 SE Slater St
Zip Code:'32�'33-YQ Fax: City: Stuart State:FL
Phone No.561-704-6209 Zip Code: 34997 Fax: 772-287-7763
E-Mail: Phone No. 772-287-2829
Fill in fee simple Title Holder on next page(if different E-Mail: becky@coderedroofers.com
from the Owner listed above) State or County License: CCC1326574
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
05/29/2015 12:00 7722877763 CODE RED ROOFERS PAGE 01/01
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PDIE31SIGNERIENGINIEER: Not Applicable MOR GE CC !IPANY: Not Applicable
NaMe:.. Name
Address: Addre 5;
city: State: city" tate:—
Zip; Phone: zip: horteb;
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FEE SIMPLE TITLE MOLDER: _Not Ajppli � 46WDj W C 0 V. NY-ble —Not Applicable
Name: Namm.,
Address, Addre
City: CRY,
Zip; Phone,
I certify that ho work or ln�tollatiorl ascommenced pelorto the jgsu2nc6 of a p.-ei"il
St Woe Coup no repr Ion that Is granting a permit will aut'grize.I�if-t 1 Aholtiorlobuilathesu ettstructurd
,on ict w.n li
which Is in�1 In I any ap� E0 Mt c -erla,its thi-i may,restrict r prohibit such
'u, Ical HoTe Owfiers Assoclationcrules,byv�
structure. easecon twithyourl! Me wrisrsAssoCiatlonan rfeviewyuruwf . iy ircstrictinvis which May apply.
In consideration of the granting of thi requested permit,I do hereby agre that:mll 11 re,�pi-cts.perform the work
in accordance with the approved pla the Florida$ullding CWas and St. le: wmilrneniw
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-Mefollowing building permit applica'ons are exempt from undergoing;i f-if co-,:i raview:rvom additions,
accenory structures,smmmtrig pie fences,walls;signs,screen rooms 2 d im -es t i iatjo?,jer non-residential use
WARNING TO OWNER!Your Lure ure to Rebord a Notice of CoMm qncem ent-iy resin hi your paying tWice for
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improvements to your prope 1 Notice ofComrnencerpent nustberr-, -riled and posted on the jobsite
before the first inspection.If y 11 Intend to obtain financing,c4�nsult wii* -ndel Drilnattorney before
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commenoRgwork or reCordln iV*Vr Notice of ComMencemer t.
S' nature of Owner/Lome ent /11c-.rise Holder
STATE OF FLORIDA n.11TE OF F1.OR19y,
COUNTY OF couk ry OF
The forgoing Instrument w acknov�ledged before me The far i oing i,,:tw i t wits urkp•owledgad before me
thiaL day of W-ff thitg,'day 20 LS by
(Name of per on ackn6wle ging (Narritaf m
hatu e of No I Iblic State Far' P
(SlCnat"i ofNot9rVPvblI�-5taFegJFI"d
Personally Known ->5- OR Prod;ced Identification Person Ily Kn—im —OR OrrOuced ld
Type of identification P roducod Typo of Identl-an ir odt cad
Commission No. Comm' i0m rVol, (3q 0
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wised 07/15/2014
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