HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_,�,' (� Permit Number:
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Building Permit Application FEB 16 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 6902 Kenwood Road, Ft. Pierce, FL
Legal Description:
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing shngle roof. Renail plywood. Dry roof in with FL16048-R4 Tribuilt Sand self-adhered
underlayment. Install FL 10674-R12 Owens Corning Oakridge shingles. e s/odac
CONSTRUCTION INFORMATION
Additional work to be performed under_tis permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator Roof
Total Sq. Ft of Construction:_2,279 S . of First Floor:
Cost of Construction:$ 11,000.00 Utilities:]Sewer F]Septic Building Height: 9 feet at eav
OWNER/LESSEE: CONTRACTOR:
Name John Blake Name: Christopher Long
Address: 6902 Kenwood Road Company: The Roof Authority,Inc
City: Fort Pierce State: FL Address: 6771 N.Old Dixie Hwy
Zip Code: Fax: City: Ft.Pierce State: FL
Phone No.772-979-5932 Zip Code: 34946 Fax: 772-468-2247
E-Mail:` nQ email address Phone No. 772-468-7870
Fill in fee simple Title Holder on next page(if different E-Mail: tim@theroofauthority@gmail.com
from the Owner listed above) State or County License: CCC56933
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. N/A Name: NiIA
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: N/A Name: N/A
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
County with any applicable Home Owners Association rules,bylaws or an covenants that may restrict or prohibit such
which is in con,
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 your Notice of CommencemenV�
aw dA s
Si e of Owner/Lessee
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i� /At Signature of C trac is se Holder
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STATE OF FLORIDA STATE OF FLORI
St. cie
COUNTY OF St. Lucie COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this gtb__day of Fghninru 20 Eby this 16thdayof—February 2017 by
John E34ake Christopher A. Long
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
TIT
Personally Known P rTK9TYYdA1*na ON Personally 0=446— ffi Irc Pentification
NOTARYPUSUC Type of Iden Z
Type of Identificatio Tt:Ul'r IDA W rA OF FLORIDA
Corniv#FF104511 (Sea[)
Commission No. Comm# Commission 15V
res1/20/2015
wAxplr" 12018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS