HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `7
Date: 3/6/17 Permit Number: I®
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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:
V I
Address: 5283 FOURWINDS WAY FT PIERCE, FL 34949
Legal Description: OCEAN RESORTS COOPERATIVE SITE 85 (OR 2524-2923)
Property Tax ID#: 1410-502-0085-000-2 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[i O LE QME)
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check a appy:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing []Sprinklers Generator Roof 2.5/12 Roof pitch
Total Sq. Ft of Construction: 600 S . Ft. of First Floor:
Cost of Construction:$ 5240.00 Utilities:Sewer[]Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name BILL SMITH Name: CHARLES RICHARDS
Address:45 FLETCHER AVE Company: ALL AREA ROOFING
City: MANASQUAN State:NJ Address: 3921 S US HWY 1
Zip Code: 08736 Fax: City: FT PIERCE State.FL
Phone No.732-580-3001 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: 6CC1326177
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
commen,/� ork or recordin ou o ' of Commencement.
J�_J gy-f-
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Signa of Owner/Lessee/Contractor as Agent for Ow er Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrum nt was a�cknowledged before me The forgoing instrument was acknowledged before me
this�day of / C k? 20/-g-by this b day of GA �) 20 I by
CHARLES RICHARDS CHARLES RICHARDS
(Name of person acknowled - g) (Name ?person acknowledging)
NISioature 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��:Pu�ti�, FAITH MASON
Commission No. *(;91��MMISSION#GG 003939 Commission No. o��`;P�Qr,� SON
* * MY COMMISSION#GG 003939
��' \o� EXPIRES:June 20,2020 c FJ(PIRES:June 20,202D
a
BOF F�oa 90ndad Thru Budget Notary SeMces
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS