HomeMy WebLinkAboutBuilding Permit Application s
ALL APPLICABLE INFO MUST,BE COMPLETkD FOR APPLICATION TO-BE ACCEPTED y
Dater' a �. -= Perm it.Number: w\_
RECEIVED JUN 0 6 7.01.6
Building Permit Application
Planning and Development Services.
Building and Code Regulation Division
2300.14irginia.Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial______ Residential Yes
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION: .
Address:
Legal Description:. 1 VNI tat'1 P—NW i' F_-kQZjE t {1� 't C�1 �`�C i—fr}
Property Tax ID#: 4CZ" (o0 - 047 1 -Coo-h Lot No. I
P
Site Plan Name: N/a Block No. 3
Project Name: N/a _
Setbacks Front N/a Back- N/a Right Side: N/a Left Side: N/a
QETA)LED DESCRIPTION OF:W0'RK
We will-tear off the existing,roofing down to the plywood,Re-nail the deck to the current code and Re-roof.
'CONSTRUCTION INFORMATION
-
Additional wor to e e orme under is permit—check a appy:
❑HVAC :o Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric Plumbing 0-Sprinklers Generator Q Roof
Total Sq.Ft of Construction: S .Ft.of First Floor. N/a
Cost of Construction:$ 7�p rJ Utilities.T]Sewer Septic Building Height N/a
:OWNER/LESSEE n- CONTRACTOR
Name Ej9nl2w .M a-�P Name: Christopher Collins
Address: 1 U7 QQ T Company: Collins Roofing Inc
City: .ti"IrA2 - Y' State: L- Address: PO Box 12867
Zip Code:.354 5 Fax:N/a . City.Fort Pierce State:>Z
Phone No.Nfa Zip Code: 34979 Fax: 772-489-6505
E-Mail-N/a Phone No.772-201-1352 or 772940-8607
Fill In fee simple Tale Holder.on next page(if different E-Mail: Collinsroofinginc@gmail.com
from the Owner listed above) State or County License: CC-058011
If value of construction is$2590 or more,a RECORDED Notice of Commencement is required.
r
ION:
SUPPLEMENTAL CONSTRUCTIOP, L1Ei4l !A1"J-INFORII%IAT
DESIGNER ENGINEER: V pplicable MORTGAGE COMPANY: d_No icab ie
Name: Name:
Address: ,/ Address:
City: i State: City: State:
Zip: % Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: J_-Not AppljcabT BONDING COMPANY: _Notpl 999
Name: Name:
Address: Address:
City: !' City,
Zip: Phone: Zip:. Phone:
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 ppermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an 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 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The f0owing building permit applications are exempt from undergoing a full concurre :roo s,
accessory structures,swimming pools,fences,wails,signs,screen rooms and acc ory uses to er non-resi ential use
WARNING TO OWNER:Your failure to Record a Notice of Comme ement may ult inyouur paylii g twice for
improvements to your property.A Notice of Commencemen ust be re d and pos d o the jobsite
before the first inspection. If you intend to obtain financin consult w" der or a orn y before
commencing work or recordinR your Notice of Commenc ent.
s
S g�a.ure of 4a� orf LesseeJAgerrk Signa r ct ce e
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF dS' A P
The forg ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ay if y this (a day of 20 by
(Na a of person acknowledging) (Name of person knowledging)
atuni of Notary Public-State o rida) (Signature of ry Public-State of Florida)
Personally Known "R Produced Identification Personally Known OR Produced Identification
Type of Identification Produced `N�-- Z�'\� Type of Identification Produced FL El t—
Commission No. Seal) CommissionN �� FAY J S
3.1 20 �' .•` �o'y
Notary Public-State of Florida
FRISS-18-R FF 221708
�,• My Comm:Expires May 10 2019
Rivtwd 0?91$V2014 ,iFOFFIV�� Bonded through National NotaryAsm.
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