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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/16/17 Permit Number: )1 4 Building Permit Application�� U Planning and Development Services N Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 N° ....................... Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: Roof ;n I� PROPOSED IMPROVEMENT LOCATION: Address: Pnog LD( c Legal Description: LINKS AT SAVANNA CLUB FIRST REPLAT(PB 42-25) BLK 37 LOT 49 (OR 1815-1238) Property Tax ID#: 3425-708-0009-000-0 Lot No.49 Site Plan Name: Block No. 37 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 toe nerformed under this permit—check a appy: HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator W1 Roof 4/12 Roof pitch Total Sq. Ft of Construction: 1625 SFt. of First Floor: Cost of Construction:$ 6370 Utilities:cnSewer 0Septic Building Height: 1 STORY OWNERAESSEE:1 CONTRACTOR: Name 19 -n `t�1. na Name: 'c{hhOCA' S Addres : W('Y')E (ln�lp✓�r Company: /q/ 1 .eb(k PC)o �a2 City: (4- Sf- 1-1al�aQ, State: Address: ,`-�,R� ( 1.1S H7,0CI Zip Code: �_-Y1 1.17, Fax: City: tri �(�.� Stater Phone No. L// gt/�-1 --d) ZipCode: 7 got Fax: '779-Wo L/—b&00 E-Mail: Phone No. `7_72- y&y—(D8'©O 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 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 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. leov���J - &t_�4 10):4s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF ST LUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 16 day of NOVEMBER 20J-7 by this 16 day of NOVEMBER 20a 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 Ignature of Notary Public-S A�%of Florida) ( I aturef N ootary Public-State of Florida) �o ,Bic FAITH MASON oto;Pa&, FAITH MASON Commission No. k * MyffMOSION#GG 003939 Commission No. * MYCOMMidhG13003939 '^9l �\ae EXPIRES:June 20,2020 w, c� EXPIRES:June 20,2020 '-OF IFIBanded ThruBudget Notary 9endtea 9�OF0,000 Bonded ThruBudget Notary 9avkea REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17