HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,�_
Date: 1/26/17 Permit Number: 17 A'' I - Ost#(1
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
PROPOSED IMPROVEMENT LOCATION:
Address: 1675 BAR HARBOR DR FT PIERCE, FL 34945
Legal Description: GOLDEN PONDS- 1675 BAR HARBOR DR FT PIERCE, FL 34945
Property Tax ID#: 2303-211-0025-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF((W BILE_HQME)l
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC Ei Gas Tank 0Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof 312 Roof pitch
Total Sq. Ft of Construction: 1431 SFt. of First Floor:
Cost of Construction:$ 6500 Utilities:Sewer Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name CONCETTA GALFO Name: CHARLES RICHARDS
Address:1675 BAR HARBOR DR Company: ALL AREA ROOFING
City: FT PIERCE State:FL Address: 3921 S US HWY 1
Zip Code: 34945 Fax: City: FT PIERCE State:FL
Phone No.772-466-3653 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC1326177
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
i`
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenant's 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
commencing work or recording our Notice of Commencement.
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Signature o Owner/Lessee/Contractor as Ag nt for Owner Signature Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Alp day of64A u 20 /7 by this jJ6 day of <149_ACt(tf& 20 fl by
CHARLES RICHARDS CHARLES RICHARDS
(Name of person acknowledging) (Name of erson acknowledging)
(Sign re of Notary Public-State of Florida) (Sign ure of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 0!"C (SealrAnMASON Commission No. (Seal)
* # MY COMMISSION#GG 003939 FAITH MASON
EXPIR1751-Jung ID 102A
SwdedThiu Sudpet NotM SeN rimsm \oma EXPIRES:June 20,2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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