HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �J
Date: 1-28-2017 ' / Permit Number: l —o
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Building Permit Application APP 1 -8 2017
Planning and Development Services PE1
Fi:RITTiNIC
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: 8402 Coquina Ave Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 8-BLK 92 LOT2 (MAP 13/02N)(QR 1059-1917)
Property Tax ID#: 1301-608-0106-000-6 Lot No.
Site Plan Name: Conkle Reroof Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Reroof home with a metal roof. Tear off existing shingle roof and install a drexell metal roof with peel
and stick on a 6/12 roof pitch 3600 square ft
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CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all appy:
HVAC L Gas Tank E]Gas PipingOGenerator
Shutters a Windows/Doors
Electric 0 Plumbing []Sprinklers Roof
Total Sq. Ft of Construction: 3600 S . Ft.of First Floor:
Cost of Construction:$ 19515.00 Utilities: Sewer Septic Building Height: 19'
OWNER/LESSEE: :CONTRACTOR:
Name Robert Conkle Jr Name: Richard A. Newland
Address:8402 Coquina ave Company: Richie the Roofer
City: Fort Pierce, State:FL Address: 6704 Santa Clara Blvd
Zip Code: 34951 Fax: City: Fort Pierce State.FL
Phone No.772-285-0026 Zip Code: 34951 Fax: 866-610-8652
E-Mail: Phone No. 772-464-4329
Fill in fee simple Title Holder on next page(if different E-Mail: richieroofer@yahoo.com
from the Owner listed above) State or County License:JoroG4642Z38
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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: Mills,Short&Associates Name:
Address:6006th st Address:
City: Vero Beach Fl. State: FL City: State:
Zip: 32962 Phone: 772-226-7262 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: RichardA Newland Name:
Address: 6704 Santa Clara Blvd Address:
City: Ft Pierce City:
Zip: 34951 Phone: 772-473-6197 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
commencing work or recording our Notice of Commencement.
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'_"Signature of Owner/Lessee/Agent ure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA p
COUNTY OF 4. LL ue, COUNTY OF 4,
The forgoing instr ent wa acknowledged before me The for oing instr ment was acknowledged before me
this�day of 20 ►�.by this day of _ 20 by
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(Name of person acknowledging) (Name of person acknowledging
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(Signature of Notary Public-State of lorida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification ✓/ Personally Known OR ProdWed Identification
Type of Identification Produced ; Q•(1 Type of Identification Produced
Commission No. }� N S. NIELSEN ommission No. I<AR a . NIELSEN
�? Commission S FF 11 5637
Commission 9 FF 115637
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS