HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q J Permit Number:
Building Permit Application
Planning and Development Services MAR /2 2011
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 -
PROPOSED;LMPROVEMENT LOCATION.;
Address: 8609 Florence DR Port St. Lucie, FL 34952
Legal Description: LA BUONA VITA COOPERATIVE UNIT/LOT 82(OR 1398-1724: 1489-2530;3206-1793)
Property Tax ID#: 3426-664-0081-000-8 Lot No.82
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF. ORK
remove existing.roof replace any rot install ASTM-226 30# underlayment install 26 GA metal roof
system
CQNSTRUCTtON _INFORM`ATION:
Additional work toe e orme under this permit—check a appy:
C�HVAC 1.Gas Tank ❑Gas Piping _Shutters Windows/Doors
DElectric 0 Plumbing Sprinklers E]Generator Roof
Total Sq. Ft of Construction: 1,500' .. S . Ft.of First Floor:
Cost of Construction:$ 6,375 Utilities: Sewer Septic Building Height:
'OWNER/LESSEE; CONTRACTOR:
Name Donald C Mitchell Name: Joe Baker
Address:404 Aspen Ct Company: Big Lake Roofing&Repairs
City: Saint Joseph State: Address: 2699 NW 16th Blvd.
Zip Code: 61873 Fax: City: Okeechobee State:FL
Phone No.217-840-6526 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: bigiakeroofing@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 CONSTRUCTION LIEN LAW INFORMATION:'
DESIGNER/ENGINEER: of 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 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 FLO 4�A I STATE OF FLORIDA "
COUNTY OFr;-P�U'LD�'la�{ COUNTYOF
The Irgging instrument was acknowledged hefore me The f rgping instr ment was acknowledg d before me
this I��`TCday of_ ��' • 20 11 by this Jif day of 20��by
or 0 �
(Name of person acknowledging) (Name of person ac owledging)
(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
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Commission No. V.ruwfe stilet d ardSon Commission No. COMM �I� #FF125216
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