HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/18/17 Permit Number:
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: 1
Address: 3709 HYDRILLA CT PORT ST LUCIE, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB-BLK 48 LOT 17 (OR 1826-1966)
Property Tax ID#: 3425-706-0158-000-3 Lot No. 17
Site Plan Name: Block No. 48
Project Name:
Setbacks Front Back: Right Side: Left Side:
i
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF (LIGIC►BILE_EiOME)
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit=check a appy:
HVAC ff Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof 312 Roof pitch
Total Sq. Ft of Construction: 1300 S Ft. of First Floor:
Cost of Construction:$ 5500.00 Utilities:Sewer El Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:'
Name DENNIS LEBON Name: CHARLES RICHARDS
Address:3717 MORNING DOVE CT Company: ALL AREA ROOFING
City: PORT ST LUCIE State:FL Address: 3921 S US HWY 1
Zip Code: 34952 Fax: City: FT PIERCE State:FL
Phone No.772-785-8692 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
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 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 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 o tice of Commencement.
A" ��42 s
Sig a Owner Lessee/Contract r as Agent for Owner Sig re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this J 9_day of 20 Eby this_L9 day of CQaW 20 a by
CHARLES RICHARDS CHARLES RICHARDS
(Name of person acknowledging) (Name of person acknowledging)
� 1
gnature 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
Commission No. (SealfAITHMASON Commission No. RYPU& (-WRWMASON
* MY COMMISSION#GG 003939 ti . % * My COMMISSION#GG 003939
N c EXPIRES:June 20
,2020
FOp�iP Bonded Tlw Budget Notary SeM N '��'.'Oc F�oQ� Bonded Thru Budget Notary Services
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA,TURTLE MANGROVE
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DATE
COMPLETE
INITIALS