HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j
Date: 11/16/17 Permit Number: I I
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 -- 511Lng L
PROPOSED IMPROVEMENT LOCATION:
Address: 1 dWe—L000 d C,c Poc+ + LQ_, L12 5
Legal Description: SAVANNA CLUB-PLAT TWO-BLK 18 LOT 32 (OR 3233-1074)
Property Tax ID#: 3425-702-0189-000-7 Lot No.32
Site Plan Name: Block No. 18
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF (MOBILE HOME)
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit–check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
❑Electric Plumbing' Sprinklers ❑Generator W1 Roof 412 Roof pitch
Total Sq. Ft of Construction: 1800 S . Ft. of First Floor:
Cost of Construction: 8550 Utilities:nSewer❑Se tic Building Height: 1 STORY
$ — — p g g
OWNERAESSE//E: CONTRACTOR:
Name Lia-,W 6f-c.LLI Name: e_5
Address: a � 1 1y (3 r Company: Ail AM Ew-gkal
City: ki n4 5fuVA State:/y Address:_ 4 at S L.-.S )-"
Zip Code: //d 3J Fax: City: �I- iii e�C� Stater
Phone No.(.e/-7 —0010-6119 Zip Code: 008x2 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: 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
commenciDg,Work or recording our No 'ce of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COU NTY OF ST LUCIE COU NTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 16 day of NOVEMBER 201-7 by this 16 day of NOVEMBER 120 /'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
ooy",Pte, FAITH M ON
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* * MY, 0 GG 00393!
EXPIRE
EXPIRES:: u 20,2020
nature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) F040 Bonded nm Budgel I lotaryservicer
ot�Y Pua, FAITH MASON otPaY Fue�� FAITH MASON
•' ° COMMISSION#GG 003.;:
'
Commission No. � ••• •• *(®)26OMMISSION#GG 003939 Commission No. * (�eh�l
IRES:June 20,202
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„ \°Q EXPIRES:June 20,2020 Bonded Th-Budget Notary SM:es
reOF FLOW Bonded Thru Budget Notary Services e0F F�0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17