HomeMy WebLinkAboutBuilding Permit AppALL APPLICABLE lNFO1M115T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; q l C 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: 2330 St Lucie Blvd
Legal Description: SAN LUCIE PLAZA S/D-UNIT ONE- BILK 55 LOTS 1 AND 2 (MAP 14/28S) (OR 3181-43)
Property Tax ID #: 1428-702-1177-000-0 Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Flight Side: Left Side:
1 DETAILED DESCRIPTION OF WORK: I
Tear off shingle roof install new shingle roof on a 5/12 pitch
Tri Built Peel and stick F116048-R6 Tamco Shingles FL 18355-R4
CONSTRUCTION INFORMATION:
Additional work to be nertormed un er this permit— check a apply:
E1HVAC Gas Tank E]Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Z Roof
Total Sq. Ft of Construction: 3100
Cost of Construction: $ 12000
S Ft. of First Floor: _
Utilities:cn Sewer 0 Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Spinnaker Services LLC
Name: Richard A. Newland
Address: 3790 Spinnaker Ct
Company: Richie the Roofer
City_ Fort Pierce State: FL
Zip Code: 34946 Fax:
Phone No. 772-971-0139
E-Mail:
Address: 6704 Santa Clara Blvd
City: Fort Pierce State: PI
Zip Code: 34951 Fax:
Phone No. 772-473-6197
Fill in fee simple Title Molder on next page (if different
from the Owner listed above)
E-Mail: richieroofer@yahoo.com
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: T Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
St. Lucie County makes no representation that is granting a permit will authorize the permit noioer to ouua the sunjecr 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.
Sign f r/ Lesse A ent', nature of Contractor/License
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST Lucie COUNTY OF St Lucie
The for4oing instrument was a knowled a fore me The f r�oing instr ent was cknowledged before me
this day of i` �- 20 by this `i day of i 1 UX 20 by
'�Lab I'
(Name of person acknowhfdging) (N me of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known -----OR Produced Identification
Type of Identification Produced VN
Commission No. �p00Pt+-JSe*fa'ypwt%cStatedFro
ands P Sanderson
A 1, My Cotnrlit4ioh GG 219.
Revised 07/15/2014
L
Signature of NotaryPublic- State of Florida)
Personally Known OR Produced identification
T;Aof Identification Produced
ission No.
NAjNf C ststs of Florida
AtnsnU P 58ndersan
uu t Ammillikien Go 211256
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