HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �f r
Date: !17 �• Permit Number:
ECE
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Building Permit Application AUG /4 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 1203 ROYAL PALM BLVD FT PIERCE, FL 34982
Legal Description: THE TROPICS REVISED (PB6-21)BLK 4 LOTS 8&9(0.34AC)(OR 3905-2778)
Property Tax ID#: 2433-801-0057-000-9 Lot No.8&9
Site Plan Name: Block No. 4
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC 11 Gas Tank ❑Gas Piping I _Shutters Q Windows/Doors
0 Electric 0 Plumbing Sprinklers E]Generator 21 Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 2200 Sq. Ft. of First Floor:
Cost of Construction:$ 13500 utilities:O Sewer Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name SANDRA DEWSON Name: CHARLES RICHARDS
Address:1203 ROYAL PALM BLVD Company: ALL AREA ROOFING
City: FT PIERCE State:FIL Address: 3921 S US HWY 1
Zip Code: 34982 Fax: City: FT PIERCE State:FL
Phone No.772-618-0608 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
LLmple Title Holder on Hent page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM
wner listed above) State or County License: CCC1326177
nstruction Is$2500 or more,a RECORDED Notice of Commencement is required.
y.
tQ T# IMlC1` 11V EN,,, W,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 recoCding your Notice of Commencement.
5
Signa u o Owner/Lessee/Contractor as gent for Owner Signature of Contract r/License Hold r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
Theforgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this T day of Ua a L45- 20 l?by this '�5 day of (.../t ttr aJ f 20 1-7 by
41
CHARLES RICHARDS CHARLES RICHARDS
(Name of-person acknowledging (Name of person ackno dging)
nature o Notary Public-State of Florida) igna ure 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. :?u k+ (Seal) FAITHMASON Commission No. _o� `Y'.�$!g, (SealyAtTHMASON
* MY COMMISSION#GG 003939 * * MY COMMISSION#GG 003939
EXPIRES:June 20,202o
ylFCF f16�� BakMd Ttuu 9udgd;Notery 3ery cef e0F 0-00' Bonded TW Budget Notary&INIQe
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS