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Building Permit Application
i r ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ©� Date: 219117 Permit Numl ber: �o • Building Permit Application Planning and Development Services I 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: 8509 LIDFLOWER CT PORT ST LUCIE, FL 34952 Legal Description: SAVANNA CLUB-PLAT TWO- BLK 11 LOT 24 (OR 3659-752) Property Tax ID#: 3425-702-0063-000-8 Lot No.24 Site Plan Name: Block No. 11 Project Name: Setbacks Front Back: Right Side: Left Side DETAILED DESCRIPTION OF WORK: TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOFILE FL0.Ei) I i , CONSTRUCTION INFORMATION: j Additional work toe nertormed under this permit—check a appy: HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof 312 Roof pitch Total Sq. Ft of Construction: 1120 S . Ft.of First Floor; Cost of Construction:$ 7107 Utilities:n Sewer 11 Septic Building Height: 1 STORY i OWNER/LESSEE: CONTRACTOR: ! I Name CARL BRAUN Name: CHARLES RICHARDS Address:75-5888 AL II DR F13 Company: ALL AREA ROOFING City: KAILUA KONA State:HI Address: 3921 S US HWY11 Zip Code: 96740 Fax: City: FT PIERCE State:FL Phone No.405-808-2143 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@ALLA,REAROOFING.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. I I ' SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not ApplicableMORTGAGE 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 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 A endme'nts. 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 w rk or recording our Notice of Commencement. S Sign atur wner/Lessee Contractor as Agent for Owner Signature of Contractor/License Holder I , STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE Thefour oing instrument was acknowledged before me The forgoing instru eln was acknowledged before me this I day of 20 Qby this day of L" 20 Z by CHARLES RICHARDS CHARLES RICHARDS I (Name of person acknowledging) (Name o person acknowledging) ,(Signature of Notary Public-State of Florida) (Signature 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 o�Wpl/'' FAITH MASON Commission No. t *( bMMISSION*G0003939 Commission No. (Seal) N9 `oma EXPIRES:June 20,2020 ?�sFAITH MASON * , * MY C MMISSION M GG 003939 Revised 07/15/2014 N9. `oe _ EXPIRES:June 20,2020 rFOF woe Bonded Thru Budget Notary Services REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE j INITIALS e, !u