HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -1
Date: 11/1/17 Permit Number: +� `' 1�10 �1
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ECEIVED
Building Permit A li ation pp
Planning and Development Services NOV 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 Perrn itti n
Phone: (772)462-1553 Fax: (772)462-1578 Commercial 66� ekolpfrturffv_rrlent
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line dD
PROPOSED IMPROVEMENT LOCATION:
Address: 0� PSobcAT E+ t'ice_ EL 3W 51
Legal Description: SPANISH LAKES COUNTRY CLUB (2 BOLERO FT PIERCE, FL 34951)
Property Tax ID#: 1301-111-0001-000-5 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 toe nertormed under this permit-check all appy:
HVAC Gas Tank []Gas Piping Shutters Q Windows/Doors
11 Electric E] Plumbing Sprinklers Generator Roof 212 Roof pitch
Total Sq. Ft of Construction: 1500 S Ft. of First Floor:
Cost of Construction:$ 6500 Utilities:Cn Sewer 1:1Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR: n
Name U1_30 n �(��1P4\� Zt Name: d S Qi
Address: llam. tr" Company: 12
City: sb-�- - n State:MID Address: 91� I US ihAL4
Zip Code: LA Fax: City: el.p-cC-e State: �R_
Phone No. '-A ,A3-3010 - 3tdoJr Zip Code: Fax: 17a-L4L04-1olo )
E-Mail: Phone No. -1'�a- (4 6Q- Lwo
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:
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
commencin rk or recording our Notice of Commencement.
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Signat a of Owner/Lessee/Contractor as Agent for Owner Sign ure 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 1 day of NOVEMBER 20 I�1h by this 1 day of NOVEMBER 20)1 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
IN
(Signature of Notary Public-State of Florida) (Signat a of Notary Public-State of Florida)
eAy Ne"
Commission No. �` •.�% (SeaTTHMASON Commission No. fS �TFIN►ASON
* MY COMMISSION#GO 003939 i ta * �C0 I SION#GG 003939
aQ EXPIRES:June 20,2020 `oQ EXPIRES:June 20,1020
oe� Bonded Thru Bud et Note r�F F>OQ Bonded Thnt Bud et Nolan,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17