HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��Pl (1 Permit Number:
RECEI`:=D JUL 0 3 2017
Building Permit Application
01 0_
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 xx
PERMIT APPLICATION FOR: Roof -i
PROPOSED IMPROVEMENT LOCATION:
Address: 139 Calle de Lagos, Ft, Pierce 34951
Legal Description: Spanish Lakes Country Club
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Davidson
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Re-roof with GAF Timberline HD shingles kG �'� �� ► 1
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit—check a appy:
HVAC E]Gas Tank _ ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers E Generator R1 Roof 312 Roof pitch
Total Sq. Ft of Construction: 1,300 S Ft.of First Floor:
Cost of Construction:$ 5,400.00 Utilities:RSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name William Davidson Name: Crystal Anderson
Address: 139 Calle de Lagos Company: Olneya Restoration Group, LLC.
City: Ft.Pierce State: FL Address: 4253 SW High Meadow Avenue
Zip Code: 34951 Fax: City: Palm City State: FL
Phone No.610-529-2249 Zip Code: 34990 Fax: 866-2702-8134
E-Mail: bogeybi1159@aol.com Phone No. 772-222-5136
Fill in fee simple Title Holder on next page(if different E-Mail: Ilawrence@olneya.com
from the Owner listed above) State or County License: CCC#1330974/SLC#29770
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
'S,U,FtPLE�VIENTA°L`CONSSRUCTION�LIEN'LAW INFORIVIATIO�`l�
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DESIGNER/ENGINEER: rNotApplicable MORTGAGE COMPANY: �Not Applicable
Name:. .Name:
:Address: Address:
..City: State: City: State:
Phone: Zip: Phone::
FEESIMPLE 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"Countyy makes no representation that is granting a permit will authorize the permit holder to build'the subjectstructure
which is-inconflict with any applicable Horne.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 whish mayapply
Inconsideration 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,
accessorystructures,swimming pools,-fences,walls,signs,screen rooms and accessoryuses to another non-residential use
.WARNING TO OWNER:Your failure to Recorda Notice of Commencement relay 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
comrrienc� woin rk'or recording. our Notice of Commencement.
.Signature of'Owner/Lessee/Contractor as Agent for Owner Signature of.0 ntractor/License Holder
STATE'OF FLORIDA STATE OF'FLORIDA
COUNTY OF 1 aeC t n COUNTY OF_ kd11,(�
The forgoing instr mellt vas acknowledged before me The forgoing instrument was acknowledged before me
thisi day of 20 �6}' this day of 20 by
jZ�ir sal I�f1Q1 Q 124�(� a �' A c6i2tr1
(Name":of person acknowledging) (Name of person acknowledging)
(Signatu :of NAt4fy Public-State o -orida ) (Signature f NotarPu lic-S.ta.te of Florida..)
Personally Known "�_C_OR Produced:Identification Personally-Known–)Q —OR Produced Identification
Type of:Identification Produced Type of Identification Produced
Commission No _�(j ommissionNo ,,(�cnwn ,
•�„µv a�••r•, MEGAN JEANETTE LAWRENCE ^��Av np'�r, MEGAN JEANETTE LAWR CE
Notary Public-State of Florida =2. :�o Notary Public-State of Fl da
• ommission ft GG 0974
My Comm.Expires Apr 24;2021 �,;e' oQ:, My Comm.Expires Apr 24, 21
Revised 07/15/2014 �,`,F•• BondedlhroughNatiatalNotaryAsm. °r`rFl• Bonded through National Notary sr.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MA..NGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVI[1N
DATE I
COMPLETE
INITIALS