HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2
Date: 2/9/17 Permit Number: I 1] N00
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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: 1705 GOLDEN PONDS DR FT PIERCE, FL 34945
Legal Description: GOLDEN PONDS- 1705 GOLDEN PONDS DR FT PIERCE, FL 34945
Property Tax ID#: 2303-211-0025-000-5 Lot No.
Site Plan Name: I 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 (NIOl3ILE HOME)Y
CONSTRUCTION INFORMATION:
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Additional work to be nertormed under tispermit—check all appy:
HVAC Gas Tank []Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof 3.1/12 Roof pitch
Total Sq. Ft of Construction: 1764 S . Ft.of First Floor:-
1-7
Cost of Construction:$ 6970 Utilities: Sewer[]S ptic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:'
Name DAVID MURRAY Name: CHARLES RICHARDS
Address:1705 GOLDEN PONDS 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.772-468-0812 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
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: r
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:
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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 respect's,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,4r recording our Notice ,Commencement.
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Signature o ner/Lessee/Cont actor as Agent for 0 ner Sign re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
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Thef¢[going instrument was acknowledged before me The forgoing ins ument was acknowledged before me
this "� day oft u_ 20),'Lthis—L day of F! 20 by
CHARLES RICHARDS CHARLES RICHARDS "
(Name of person acknowledging (Name f person ackni wledging)
(Signature of Notary Public-State of Florida TWature of NotaryPublic-State of Florida)
Personally Known x OR Produced Identification Personally Known x 1 OR Produced Identification
Type of Identification Produced Type of Identification(Produced
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Commission No. _ot'RY:;'�lio (Sea�MaON Commission No. (SFAl7HMASON
* * MY COMMISSION#GG 003939 * WCOMMIDSION#00003939
uEXPIRES.hins;%2929
HIM-ajanV20,2020
Revised 07/15/2014
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