HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/10/17 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 X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 8153 MEADOWLARK LN PORT ST LUCIE, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB- BLK 44 LOT 5 (OR 1859-1228)
Property Tax ID#: 3425-706-0012-000-8 Lot No.5
Site Plan Name: Block No. 44
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF (MOBI=LEH'O.ME)
r
ulk"L i VQW sfai it
FCONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—cleck all appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers E Generator 17 Roof 212 Roof pitch
Total Sq. Ft of Construction: 2000 Sq. Ft.of First Floor:
Cost of Construction:$ u3Cy. 60 Utilities:DSewer Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name JORGE POUSA Name: CHARLES RICHARDS
Address:8153 MEADOWLARK LN Company: ALL AREA ROOFING
City: PORT ST LUCIE State:FIL Address: 3921 S US HWY 1
Zip Code: 34952 Fax: City: FT PIERCE State:FL
Phone No.772-344-9853 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:
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 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 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
commengftpork or recording our Not' of Commencement.
V
s
Signat of Owner/Lessee/Contractor as Agent for Owner Sign a of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sr LUCIE COUNTY OF STLUCIE
�z ��k
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_�L day of -3(3-rn L,(ar. , 20 aby this )I day of ::JM U 20 L7_by
CHARLES RICHARDS CHARLES RICHARDS
(Name of person acknowledging) (Name of person acknowledging)
n ,
q\ h dLg* ry
(Signature of Notary Public-State of Florida) Ignature 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
0
Commission No. -,toy;u&i (Sea}hI7MMASON Commission No.
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° ••'� FAITH MASON COMMISSION#GG 003939 aoN
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* * MY COMMISSION#GG
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9 0 EXPIRES:June 20,2 _
OF F0� Bonded ThN et Note-Bonded Thru Budget Notary Ser0cea
29
Revised 07/15/2014
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DATE
COMPLETE
INITIALS