HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED {Q�
Date: 10/1/2018 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 XX
PERMIT APPLICATION FOR: Roof
, a
PROPO$ED IMPROVEMENT LOCATIQN
Address: 3407 Okeechobee Rd., Fort Pierce, Florida 34947
Legal Description: WESTWOOD MANOR BLK 1 THAT PART OF LOTS 3 AND 10 E OF FOL DESC LI: From
NE COR LOT 3 RUN SWLY 19.6 FT FOR POB, TH SLY TO PT ON S LI LOT 10, 52.1 FT W OF SE COR LOT 10
2417-702-0003-000-2
PropertyTax ID#: Lot No.
Site Plan Name: Block No.
I
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED'DESCRIPTION_Or'WORK:.'
a.
a
e
4
Remove existing shingle roof, re-nail to current building code., Dry in with secondary water barrier,peel-n-stick.,Shingle with owens
coming Architectural Shingles.
F
�CONSTRUCTION``tNFORNIATION
z
rtiona wor to e e ormed under this permit—c ec a appy:
HVAC Gas Tank DGas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers a Generator W1 Roof Roof pitch
Total Sq. Ft of Construction: 3800 S . Ft.of First Floor:
Cost of Construction:$ 13,300.00 Utilities: Sewer Septic Building Height: 8
QINNER/LESSEE CONTRACTOR:
Name S U Name:
Address: Company: WWW Enteprises&Son, Inc.
City: 1 , �_,?.��_ State:Fl Address'"q_'-KZ3
Zip Code: 34947 Fax: City: ]S� State:Fl
Phone No. Zip Code: 34945 Fax:
E-Mail: Phone No. 772-465-9373
Fill in fee simple Title Holder on next page(if different E-Mail: wandagahn@aol.com
from the Owner listed above) State or County License: CCC1326015
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUGT10 LEEN LAW IN ORMATION „h f ,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:Not Applicable
Name: Name:
Address:3407 Okeechobee Rd.,Fort Pierce,Florida 34947 Address:
City: State: City: State:
IZip: 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.
1 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.
Iln consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
rn 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 wor recording our otice of Commencement.
Signature of Owner/Lesse /Eontractor a Agent for Owner Signature of ontracto License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OFA,
I
The forgoing instrument was acknowledged before me The forgoing instrurpent was acknowledged before me
this ) day of..-n CA- 20JJ by this 1 day of ^EX- 20M by
Wanda Gahn Wanda Gahn
Name of person making statement Name of person making statement
Personally Known OR Produced IdentificationPersonally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
rgnature of Notary Public-S to of Florida) rgnature of Notary Public-ttite of Florida)
Commission No. (Seal) Commission No. �as „„ LASHN'(A:jRAM0
�Pa Bei•., public` of Florida
_. ..•- _ `_�� *,�,; tsotary 2018
LAShAH!dA�ING�R�AM� , My Comm.Expirc 20,a <^'"''�a' ublic- _. • 177249
sion
a My Comm.Ex)ires Dec '���FOFf�� ndedaloughKati nal 0a
REVIEWS FROfJ,• N��mlasi nSl1F��fl�`�R ' PLANS VEG TI "�� i6ROVE
COIJV EM to NatiR t ssn. _REVIEW REVI REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17