HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /• - Z. Permit Number: ~10/-6e3?,Q.22
RECEIVE®.
•
Building Permit Application JAN 12 2017
Planning and Development Services
Building an&Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(7.72)462-1553 Fax:(772)462-1578 Commercial Residential xxxxxXXX
PERMIT APPLICATION-FOR: Roof
PROPOSED IMPROVEMENT LOCATION
Address: 540 LA BUONA VITA DR. PORT ST. LUCIE, FL 34952
Legal Description: LA BUONA VITA COOPERATIVE UNIT/LOT 149(OR 3789-1935)
3426-664-0145-000-5 149
PropertyTax,,ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILEDDESCRIPTION Of.WORK
�- }
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
;INSTALL 26 GA METAL ROOF SYSTEM
. :CO!NSTRU�CTIQN-INFORMATION `° 4 � ,
Additional work to b
M
orme un er t is permit—c ec a app y:
11HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors Ll
0 Electric F]Plumbing Sprinklers Generator W]Roof
i t
Total Sq.Ft of Construction: 1,200 S .Ft.of First Floor:
Cost of Construction:$ 5,500 Utilities:Sewer Septic Building Height:
=OWNER/LESSEE CONTRACTOR:
Name DANIEL E.ARSENAULT Name: JOE BAKER
Address:3 GEORGE AVE. Company: BIG LAKE ROOFING&REPAIRS
City: TURNER FALLS State:PAA Address: 2699 NW 16TH BLVD.
Zip Code: 01376-2203 Fax: City: OKEECHOBEE State; �
Phone No.413-768-9056 Zip Code: 34972 Fax: 863-763-7662
E-Mail: Phone No. 863-763-7663
iFill 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.
I
I
SUPPLEMENTALCONSTRiU�CfI®N LIEN LA UV NFORMATION
DESIGNER/ENGINEER: xxx Not Applicable MORTGAGE COMPANY: xxx, Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: xxx Not Applicable BONDING COMPANY: xxx Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
II 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
1n 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.
W. r _13-,e-00
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF b V-PrP. Giih o6-" COUNTY OF O E - cj,) a 62-e
The for ping instrument was acknowledged-before me The forgoing instrument was acknowledged before me
this,T`8ay of J r 20 -by this ` L1_&y of�` � ^ ,201-3 by
(Name of person acknowledging) (Name— oaf person acknowledging)
`(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 Identificatio Produced
a'��'P � HeaIep Edwardson Commission No. 0y�,� H ��r Edwardson
Commission No. �.��, ...�d.,
°_k: COMMISSION#FF125216 `'' COMMISSION#FF125216
EXPIRES:o? May 21, Zulu - EXPIRES: May T1,
Revised 07/15/2014 0i i.°��P� WWWAARoNNoTARY.COM ry. o `er
�i� WWW.AARONNOTARY.COM
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
'DATE
-COMPLETE
������7
!INITIALS
I