HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
111
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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 El
PROPOSED IMPROVEMENT LOCATION; I
Address: 8001 Pacific Avenue, Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 4-BLK 32
Property Tax ID#: 1301-604-0124-390-6 Lot No.
Site Plan Name: Block No. 32
Project Name:
Setbacks Front Back: Right Side: Left Side:
[�D�TILED DESCRIPTION OF.WORK.
Tear off existing roof down to plywood decking. Replace any rotted wood. Renail wood decking to
code. Install Titanium UDL 25 underlayment NOA#14-0603.18. Install TAMKO Heritage Premium
FL18355.1 Install new lead stacks, goosenecks, and any flashing needed.
CONSTRUCTION INFORMATION:
Additional work to bEenertormed un er t is—permit—check a appy:
HVAC Gas Tank []Gas Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers ❑Generator R1 Roof 2/12 Roqf pitch
Total Sq. Ft of Construction: 2,264 SFt.of First Floor: 2,264
Cost of Construction:$ 11,000 Utilities:]Sewer O Septic Building Height: 1
OWNER/LESSEE: -. CONTRACTOR
Name �� 4k C\0. Name:
Address: Zz7b1 k r &C Y Company: Leak Busters Roof Repairs,LLC
City: �—�, 7� RC2_ State: FL Address:_Ca 10 1 ?fir hQ�r.n
Zip Code: 34951 Fax: City: P State: FL
Phone No. 772-465-1898 Zip Code: 34982 Fax: 772-264-0378
E-Mail:gboopx4@gmail.com Phone No. 772-332-8450
Fill in fee simple Title Holder on next page(if different E-Mail: richiecolletti@gmail.com
from the Owner listed above) State or County License: CCC1330976
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION i y
DESIGNER/ENGINEER: x 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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 our Notice of Commencement.
v
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S • L )6 u COUNTY OF A -((A id f'
The fo going instrument was acknowledged before me The forgoing instrument was acknowledged before me
this2 day of Sia4 . 20_a by this ZO day of c 20J by
Ric �-a r A V! cal to"�
Name of person making statement Name of person making statement
Personally Known�OR Produced Identification Personally Known )L OR Produced Identification
Type of Identification Type of Identification
Produced Produced
i
(Signat of Notary ublic-State of Florida 11 (Sig ure of Noyary Public-State oflFlorida)
SAI( IRORTES
4, ,1 �L
Commission No. r' �' a Commission No.
Commission 4 GG 47825 �� SALLY pO
My Commission Expires ; RTE
�'%'„?o.nd;:° November 15, 2020
s�+y $ My Co'ission#GG 4 625
E-6-2#2010111oVember 5 XPires
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION G OVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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