HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED D
Date: ��" / Permit Number: ���d
RECEIVE®
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Building Permit Application MAR /2 2017
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
PROPOSED IMPROVEMENT LOCATION
Address: 6 GRAND CAMINO CT. FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE
Property Tax ID#, 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name: .
Setbacks Front Back: Right Side: Left Side: "
D.ETAILEDDESCRIPTION OF WORK: ,
REMOVE EXISTING ROOF I_
REPLACE ANY ROT j
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
.CONSTRUCTION IN,FORMATION:,
Additional work toe performed under this permit—check a appy:
HVAC 13 Gas Tank []Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers CGenerator a Roof"
Total Sq. Ft of Construction: 1,500 Sq. Ft.of First Floor:
Cost of Construction:$ 6,200 Utilities: Sewer nSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name NATHAN FOOTE/WYNNE BUILDING CORP Name: JOE BAKER
Address:6 GRAND CAMINO CT./12804 SW 122ND AVE. Company: BIG LAKE ROOFING &REPAIRS
City: FT. PIERCE/MIAMI State:FIL Address: 2699 NW 16TH BLVD.
Zip Code: 34951 /33186 Fax: City: OKEECHOBEE State:FL
Phone No.315-335-8001 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN1NfORIVIAI'ION - "`.
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 thepermit 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 FLORIDA STATE OF FLORIIPA
COUNTY OF �[—�r.�%140 ke,-4 COUNTY OF C r7 .P
The foraging instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiday of 20"by this of O 20 by
(Name of person acknowledging) (Name of person acknowledging)
E-� - 44�
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
PersonallyKnown OR Produced Identification Personally Known &ro
OR Produced Identification
Y
Type of Identification Pro uced Type of Identificatiouced
Commission No. ,1010T/i`�+ Hca )Edwardson Commission No. _a` � SEI '�'�� p��419or Edwardson
COMMISSION#FF125216 COM1,01851001 P FF125216
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tXrlKt : May 21, 7018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE /
COMPLETE �f l•: 3
INITIALS