HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MuST BE COMPLETED FOR APPLICATION TO a
Date:
Building Permit Ap
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
ACCEPTED
Permit Number:
Iication
Residential XXXxxxxx
PERMITAPPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 14385 AZucena CT
Legal Description:SPANISH LAKES FAIRWAYS LEASEHOLD ESTATE (OR 2380 1934) THAT PART OF SEC AS SHOWN IN OR 2380-1934
BEING LOT 14385 AIUCENA (BLK 34 LOT 14) (0.15 AC) (OR 2630-1
Property Tax lD #:
Site Plan Name:
Project Name:
1306€01 -0569-000-6 Lot No.14
Block No, 34
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION INFORMATION:I HVAC
ls Permlt -C
GasTank EGaspiping
E]E,ectric E]p,umbing E=sprink,ers
Total Sq. Ft of Construction
Cost of Construction: S
•®6£X-:,.OO--irst Floor:
Windows/Doors
Roof
Septic Building Height:
OWNER/LESSEE:CONT
NameROBERT & RITA ARSENAULT
Address: 14385 AZUCENA CT
FT. PIERCE
Phone No. 772-467-9593
E-Mail:
state: FL
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
BAKER
Compan
Address
BIG LAKE ROOFING & REPAIRS
2699 NW 16TH BLVD.
EECHOBEE state: FL
Zip Cod
Phone I
E-Mail:
34972 Fax: 863-763-7662
863-763-7663
lGLAKEROOFING@YAHOO.COM
State or County License:CCC046939
lf value of construction is $2500 or more, a RECORDED Notice of Commenc ment is required.
SUPPLEMENTAL CONSTRU ON LIEN LAW IN
DESIGNER/ENGINEER:
Name:
Not Applicable
Address:
State:
Phone:
Not Applicable
State:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
ot Applicable
Address:
Phone:
B0NDI
Name:
G COMPANY:Not Applicable
Phone:
WARNING TO OWNER: Your failure to Recoi.d a Notice of Commen•L:fporr°ev:hmeefTrtsstti:syp°eucrtiporn°.Pi;%Ltn¥e°*ic:o°:Et°aTniiennacnecrn:rtomn
work or recordincommencin our Notice of Commencement.
ement may result in your paying twice for
:itb;,::C,:rnddeedr:?daF:i:::hoe?tbheef!::Site-dq.rfGL #
Signature of Owner/ Agent/ Lessee
STATE OF FLORI
COUNTY OF
The for in8 instr
(Signature of Notary Pub
Personally Known
-State of Florida )
OR Produced Identification
Type of Identification Produced
Commission No.
HEA"ER EDWARDSON
H=E EE
Signature 6f Contractor/License Holder
STATE 0
COUNTY OF:FLongbe€
acknowle
le2d8ay:f;
efore me
-.2` .': £LT
(Name of acknowledging )
(Signatu+d of NotaX State of Florida )
Personally|Known
LNo.
OR Produced ldentificaticm
Type of Identification Produced
Commissi
HEATHER DWARDSON
MY COMMISSION # GG 215185
Revised 07/ 15/2014 •3fazRI.`.='.-...O:#,ic,u2al i
-``8`S\{.`:BondedEXT:LREoS#bii:'ufnudzezrwiters
REVIEWS FRONT ZONING SUPERVISOR PLANSREVIEW VEGETATl ON SEA TU RTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATECOMPLETE
INITIALS