HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/17/17 Permit Number:
Building Permit Application
Planning and Development Services OCT 1 7 2017
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:
Address: q L.CL Pu er 1 F_yk_ rA- Re.r-o-'P 961
Legal Description: SPANISH LAKES COUNTRY CLUB; 9 LA PUERTA DEL NORTE FT PIERCE, FL 34951
Property Tax ID#: r Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF (MOBILE HOME)
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit–check all appy:
HVAC Gas Tank ❑Gas Piping Shutters 11 Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator W1 Roof 312 Roof pitch
Total Sq. Ft of Construction: 1900 S Ft. of First Floor:
Cost of Construction:$ 7150 Utilities:'nSewer 11 Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name EfJdE &oAn
* Name:
Address: 9 La 10i,�er- 1Jr-�- Company: ALL AREA ROOFING
City: State:FIL Address: 021 c5 L.fs t'
Zip Code: 34951 Fax: City:—EL State:FL
Phone No.617-791-3631 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,-- -- - --- --: ame _. t" f_e a.� a _-e . . R . �.
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 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 mayresult_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.
11116 aj"(', gjz 3_t'-'_yA4 gz�
Sig ature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY O F ST LUCIE COU NTY O FST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this17 day of ocroDER this �?day of ocroER� y 20LI by
CHARLES RICHARDS CHARLES RICHARDS
Name of person making statement Name:of person making statement
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
r � �
(Signature of Notary Public-State�pf,Florida) FAITH MASON (Signature of Notary Public-State of Florida)
Commission No. X1 � MISSION#GG 003939 ��Y�p.;d<<� ��F��1ITHMASON
n (g �� Commission No. * MIE�t SSION#GG003939
= v�tiP4 EXPIRES:Juno 20,2020 �
^
Donda��o� EXPIRES:June 20,2020
•,OFqedrhruDudgetNotary9ervices ,
OFF�OQ DendodThruBudget Notary ftr&es
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17