HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/09/2018 Permit Number:
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 6506 Bayard RD Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 10- BLK 132 LOT 11 (MAP 131015) (OR 2845-829)
Property Tax ID #: 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 shingle roof and 30 # felt paper
on a 5/12 roof pitch 2200 sq. ft. Fl 10674 R13 Owens Corning
E1HVAC U Gas Tank E]Gas Piping
1-1 Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ S(6 -00
apply:
Shutters O Windows/Doors
Generator i• i, Roof
S Ft. of First Floor: _
Utilities. SewerFSeptic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Mark Clements Sr
Name: Richard A. Newland
Address. 6506 Bayard
Company: Richie the Roofer
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.
E -Mail:
Address: 905 13th St sw
City: Vero Beach State: FL
Zip Code: 32962 Fax: 866-610-8652
Phone No. 772-464-4329
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
E -Mail: richieroofer@yahoo.com
State or County License: CGC 1512738
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: T Not Applicable
Name: Richard ANewland
BONDING COMPANY: Not Applicable
Name:
Address:
Address: 90513th stsw
City: Vero Beach
Zip: 32962 Phone: 772-473-6197
City:
Zip: Phone:
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 your Notice of Commencement.
ature of Owner/ Lessee/Agent ure of Contractor/License Halder
STATE OF FLORIDA I STATE OF FLORMA
COUNTY OFA COUNTY OF �t yr y
The forgoing instrument was acknowledged before me
this __7- day of, L—/,/ _ -_- 20 jZby
0,,
Al Kc CL "'/ A
v
(Name of person acknowledging)
(Signature of Notary Public- State of Florida y
P
Type of Identification og, CHRISTINA MARIERODR5
. MY COMMISSION OU 1*
Commission No.
rt. EXpggWober16,2421
�"a• �:
Bonded Thru notary public Undep0ters
Revised 07/15/2014
The foRoing instrument was acknowledged before me
this day of _/�` ��T 20/a by
(Name of person acknowiedging )
(Signature of Notary Public- State o Florida j
Type of Identific�a 1'�n-I?ro '4 MYCOMMIS51oN # GG 752040
Commission NO. I[ s FtBryp"atEctlnderwrtEers
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