HomeMy WebLinkAboutPermit applicationAII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit ApPlication
Planning ond Development Services
Building and Code Regulotion Division
2300 Virginio Avenue, Fort Pierce FL j4982
Phone: ll72) 462-1553 Fax: (7721 462-1578 Commercial Residential X
PERMIT TYPE:RerOOf
PROPOSED IMPROVEMENT LOCATION:
Address: 1200 Fleetwood Ln.
Property Tax lD #:3404-806-0004-000-1 Lot No.4
Site Plan Name:Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove existing roof, re-nail plywood and apply self adhering shingle underlayment. lnstall ridge vent and
architectural dimension shingles.
Additional work to be performed under this permit - check all that apply:
_Mechanical -
Gas Tank _ Gas Piping
-
Shutters _ Windows/Doors
- 1llaRoof rt tz Pitch_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction' 41 00 Sq. Ft. of First Floor:
Cost of Construction: $ 16,000 00 Utilities: _Sewer _Septic Building Height:
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is 57,500 or more, a RECoRDED Notice of Commencement is required.
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
6rn,.," Rodney Leggett
Address: 1 200 Fleetwood Ln.
City:Ft. Pierce State: {L
ZiP Code: 34982 Fax:
Phone No.
E-Mail:
Fill irt fee simple Title Holder on next page ( if different
from the Owner listed above)
1r13mg.David Packard
Company .Packard Roofing & Waterproofing,lnc.
466r"rr.2182 NW Reserve Park Trace
City:Port St. Lucie State: FL
Zip Code: 34986 p1y.772468-9978
phone y,1s772468'3723
6-1y 3 ; I ssmith @packard roofi ng.com
State or CountY Uggn5sCCCA17517
sUPPLEMENTAL CONSTRUCTpN LIEN LAW INFORMATION:
@ /NotApplicable
Name:
Address:
City:
Zip:
State:
Phone
MORTGAGE COMPANY: --y'litot Applicable
Name:
Address:
City:
zip:Phone
FEE SIMPLE TITLE HOLDER: y' I.IOI APPIiCAbIC
Name:
Address:
City:
Zip:.Phone:
BONDING COMPANY: ./ Not APPlicable
Name:
Address:
City:
Zip: _Phone:
OWNER/ CONTRACTOR AFFIDVIT: Apptication 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 Countv makes no representation that is granting a permit will a.uthorize the permit holder to build the subject structure
ilt.',i-.Hi; ii".ti fliit wit-h'anv applicabte Home ownbis nsSot6iion iuies,-bviawigranp covenants that mav, reitrict <ir prohibit such
iii"rii,jid.'itEite ionir.jti*iti'-',ioUi Home owneis AsloCiation and review'your deed for any restrictions which mav 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 ipproueO 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 usesto another non-residential use
,.WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTrcE OF COiIMEITCEMEilT iIAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEiIEIUTS TO YOUR PROPERTY. A NOTICE OF COMMENCEIIIENT MUST BE RECORDED AIIID
posTED oI{ THE JoB SITE BEFORE THE FIRST tt\tsPEcTlot. lF You INTEND TO OBTAIil Flt{ANClilG, CONSULT
WITH YOUR LENDER OR Ail ATTORNEY BEFORE RECORDING YOUR iIOTICE OF COiIMENCEilIENT.,,
STATE OF FLORIDA
coUNrYor S*.tr:ri€.
The forgoing instrument was acknowledge{before me
this r*trday of Nr\JflWf ,20lLl by
Personally Known f
Type of ldentification
Produced-
Name person making stqlement.
V oR Produced ldentification
Signature of Owner/
STATE OF FLORIDA
The fqgping instrument was acknowledged,pefore me
this ft'\ay ot *vo.it,\Itaal , zo I I by
COUNTY OF S+-urxia
Name of person making statement.
,/
Personally Known r' OR Produced ldentification
Type of ldentification
;,- 11s12ry Prclic State of Florida.1 cornmtssi{SieshPes:+
|W It,tu co*m. r.xpiles seo 2,202]
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VEGETATION
REVIEW
SEA TURTLE
REVIEW
DATE
COMPLETED