HomeMy WebLinkAboutBuilding Permti Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 XXXXXXXX
PERMIT APPLICATION FOR: Roof ,l
PROPOSED IMPROVEMENT LOCATION:
Address: 6618 GAVIOTA FT.PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS BLK 41 LOT 27 (OR 1179-461)
Property Tax ID#: 1306-500-0129-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
11HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric ❑Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: 3,600 Sq. Ft.of First Floor:
Cost of Construction:S 15,750 Utilities:DSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJOHN GILLIGAN Name: JOE BAKER
Address:6618 GAVIOTA Company: BIG LAKE ROOFING&REPAIRS
City: FT.PIERCE State:FL Address: 2699 NW 16TH BLVD.
Zip Code: 34951 Fax: City: OKEECHOBEE State:FL
Phone No.772-618-3037 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
from the Owner listed above) State or County License: CCC046939
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRIUCJION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone. Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: IL Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I 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.
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 our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORI A 1 STATE OF FLORI �1,._D ,,
COUNTY OF �V—�-L it\ O � COUNTY OF D-
The fol� ng_instru Tent was acknowledged before me The for oin in was acknowledged before me
this day of 2�� by this Lodi of 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Sig re of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. A Commission No. (Seal)
PpYpy;, HEATHER EDWARDSON HEATHER EDWARDSON
:.• :R_ 5
Revised 07/15/2014 EXPIRES:May 21,2022 ` ` EXPIRES:May 21,2022
�'F„F i�°Q'= Bonded Thru Notary Public UndenHrters �F9FF°Q Bonded Thru Notary Public U idervvritere
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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