HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLFTED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
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PERMITAPPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 6712 ALEMENDRA ST. FORT PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS BLK 75 LOT 6 (OR 2179-2560)
property Tax iD #: 1306-500-0351-000-2 Lot No.6SiteplanName:BIockNo. 75
Project Name:
Setbacks Front Back: Right side: Left side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDEF{LAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION INFORMATION: I
AdE],:::cworktobH::i::kundertn,sperm,t_checkHGaspipinga||E]:::::;rs Ewindows/Doors
EE,ectric E]p,umbing E]sprink,ers HGenerator ERoof
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OWNER/LESSEE:CONTRACTOR:
NameJOHN RUTKOSKE Name: JOE BAKER
Address:6712 ALEMENDRA ST.Company: BIG LAKE ROOFING & REPAIRS
city: FOFIT PIERCE state:FL Address: 2699 NW 16TH BLVD.
zip code: 34951 Fax:city: OKEECHOBEE state:FL
Phone No. 772-489-0999 Zip code: 34972 Fax: 863-763-7662
E-Mail:Phone No. 863-763-7663
Fill in fee simple Title Holder on next page ( if different E.Mail: BIGLAKEROOFING@YAHOO.COM
State or County License: CCC046939from the O\^/ner listed above)
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
commencing work or rec ording your Notice of Commencement.-+#,-GL # ,
Signatureofowner/Fgent/Lessee-Signature of Contractor/License Holder
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(Name of person acknowledging )(Name of Person acknowledging )
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Revised 07/ 15/2014
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