HomeMy WebLinkAboutBuilding permit application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/13/17 Permit Number:
RECEIVED JAN 1 U 2017
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: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 7703 BOBCAT RUN PORT ST LUCIE, FL 34952
Legal Description: ST LUCIE GARDENS 24 36 40 BLK 3 N 165 FT OF LOT 10-LESS E 330 FT-(1.25 AC)(MAP 34/24S)(OR 1350-2051)
Property Tax ID#: 3414-501-1110-250-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING FLAT ROOF AND INSTALL NEW FLAT ROOF (PATIO ONLY) 22X12
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit—check all apply:
OHVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof 2/12 Roof pitch
Total Sq. Ft of Construction: 264 S Ft. of First Floor:
Cost of-Construction:$ 2200 UtilitiesSewer D Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name ROBERT BERRY Name: CHARLES RICHARDS
Address:7703 BOBCAT RUN Company: ALL AREA ROOFING
City: PORT ST LUCIE State:FL Address: 3921 S US HWY 1
Zip Code: 34952 Fax: City: FT PIERCE State:FL
Phone No.772-342-4763 ( Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC1326177
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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ANIL
SUPPLEMENTAL CONSTRUCTION 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: 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 t e first inspection. If you intend to obtain financing, consult with lender or an attorney before
comrp,eq ingwork or recording our Notice of Commencement.
s
nature of Owner/Lessee/Contractor as Age caner Signature of Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The for oing ins ent was acknowledged before me The fooing instrument was acknowledged before me
this-a day of 0JLu-a11 20 L�by this day of 20 by
CHARLES RICHARDS CHARLES RICHARDS
(Name o person acknowledging) (Name of erson acknowledging)
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(Signature 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. Pt!;`::Nseao FAITHMASON Commission No. �o:QYP.�� (SealI�MASON
t * My COMMISSION#GG 00393 * MY COMrFMIISSION#GG 003939
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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