HomeMy WebLinkAboutproduct approvals ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 91
Date: Permit Number:
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 Yes
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION':: Y_
Address: a? F-CAAadot- �AhI A E4Pye f P --
Legal Description: vel 12 - j 25S G45 -ln n r S Zlp'8`I- Zt 2 Loa , C_
Property Tax ID#: 1301 — 11 1 --060 —DCS — Lot No.
Site Plan Name: N/a Block No.
Project Name: N/a
Setbacks Front N/a Back: N/a Right Side: N/a Left Side: N/a
DE' AILED DES.CMPTION;OF WORK
We will tear off the existing roofing down to the plywood, Re-roof. w
3�z �J s�.►��i�s
CONSTRUCTION INFORMATION:
Additionalwork to be nertormed under t ispermit-check all appy:
HVAC LJ Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ PlumbingSprinklers Generator Roof
Total Sq. Ft of Construction: ZV Sq. Ft.of First Floor: N/a
Cost of Construction:$ Q Utilities:[]Sewer Septic Building Height: N/a
OWNER/LESSEE: CONTRACTOR:
Name M Name: Christopher Collins
Address: Company: Collins Roofing Inc
City: EL 91 QJcG� State:_EL- Address: PO Box 12867
Zip Code: Fax:N/a City: Fort Pierce State:FL
Phone No.N/a Zip Code: 34979 Fax: 772-489-6505
E-Mail:N/a Phone No. 772-201-1352 or 772940-8607
Fill in fee simple Title Holder on next page(if different E-Mail: Collinsroofinginc@gmail.com
from the Owner listed above) State or County License: CCC-058011
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,-
DESIGN ER/ENGINEER:
NFORMATION,;DESIGNER/ENGINEER: d Not Applicable MORTGAGE COMPANY: d_Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: d_Not Applicable BONDING COMPANY: Not Applicable
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 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 applic "ons are exempt from undergoing a full concurre ew:room
accessory str res,s 'mm' pools,fen s,walls,signs,screen rooms and acc ory uses to no r non-reside tial use
WARN G TO OW :Your failure t Record a Notice of Commie ement may re t in your paying ice for
impr eV��)r prope . A N tice ofCommencement ust be recor and posted on hejobsite
bef re thctio u in nd to obtain financing onsult wi er or an orne before
c menr r 'n o r Notice of Commence ent.
s
_Sig ofOwn. e nt
_ ai older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF c�s� COUNTY OF Si-
The forgoing instrument was acknowledged before me The fo going instrument was acknowledged before me
this day of �JP-y\_6 - 20 i by this day of '` .20 l.C,. by
(Name of person ackn (Name of person acknowledging)
"y
°ue
RACHEL TAMARA VILLARUEL ,�"�",lp�.,,
,o air RACHEL TAMARA VILLARUEL
_. • ,: Notary Public-State of Florida
:N Commission#FF 94944 - • Notary Public-State of F a
gnature of Notary b(fr,.l �ete xpires Jan 11,2020 (Signature of Notary Publi - Pj��MY
)nmission FF 949442
Comm.Expires Jan 11,2020
Personally Known OR Produced Identification Personally Known o
Type of Identification Produced Type of Identification Produced
Commission No.E19k{99Lf (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4246764 OR BOOK 3930 PAGE 2360, Recorded 11/08/2016 01 :23:15 PM
NOTICE OFLOMME/NCEMEN'f f
Permft No. Tax Folio No.
State of Florida County of St.Lucie
The undersigned hereby gives notice that Improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notte of Commencement.
Legal Description of Property:(and street address if available): ' r 2 ut �c
General description of improvement AEP oof: f
Owner informed ee form ti If the Lessee contracted for the improvement:
Name it
Address
interest In property:
Name and address of fee simple titleholder(if different from Owner listed above):
cone oes Nome:
mnVaetorAddresm2 ICO "L. Phone Number. -7� 2�] 1 z S 2 a :NI-Nt
3y 79
m m y C m
Surety{if applicable,a copy of the payment bond}attached):Amount of bond:$ _v
Name and address: $4 Phone mber. Z r o�M T
® m CIOC CO r
Lender Nam: Phone Number. Cb = 5 m Z 701
Lender's address:
C,)-n
Persons within the State of Florida designated by.Ownerupon whom notices or other documents maybe served as provided by Section IV is cl
7M M)ta}7.,Florida Statutes:
/ ® o a
Name:— /y7 Phone Number. 4" Ix 3
Addresr_in addition to himself or herself,Owner deslgnarrs of to receive a copy of theLienor's Notice as provided in Section 7i3.13(1)(b},Florida Statutes. rPhone number of person orendtydesignated by owner.Expiationdateofnoticeofcommencement:(the expiration date may not be beforethe completion of construction and final payment to tcontractor,but will be 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER:ANY PAYMENTS MADE BYTHE OWNER AFfERTHE EXPIRATION OFTHE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 773.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFOiIE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FwNCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penao of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my owledge and belief.
/ /
(Signature of Owner or —e,or Owner's or LM#S Authorized Officer/Director/Partner/Manager
/Ou.)4.0-r
(Signatory's Tide/Office)
The foregoing Instrument was admowledged before me this 81 day of�Upl ;2
By h -y R• l\�� � as for
Named Person Type of authority(e g officer,trustee_) Party on behalf of whom instrument was exemtied
�� =�`'.i►�" , rsona known ar roduced Identfficatlon _
SUSAN A.BOWEIFe p
(Signature of Notary Public-Sate of Florida) _ NDriry Public-State of Florida
(Print,Type,or Stamp Commissioned Name of N ° Cornmisslon dr FF 23Ti"Df I ntilizabon produced T r"
%l"t My Comm.Expires Jul 28,2019