HomeMy WebLinkAboutBuilding Permit Application.4�
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' Permit Number: /70 y d
RECEIVED
Building Perm it'Application Tanning and Development Services JAN 12 2017
Building and Code Regulation Division
12300 Virginia Avenue,Fort Pierce FL 34982
'IPhone: (772)462-1553 Fax:(772)462-1578 Commercial Residential XCXXXXXX
PERM IT.APPLICATION FOR: Roof
PROPOSED IMPROVEIVIEryNT LOCATION
Address: 500 SANDIA AVE. PORT ST. LUCIE, FL 34983
� RIVER PARK-UNIT 5 ILK 54 LOT 1 MAP 34/28S OR 1387-505, 3817=1482
Legal Description:
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Property Tax ID#: 3419-540-0038-000-2 Lot No.1
Site Plan Name: Block No. 54
Project Name:
Setbacks Front Back: Right Side: Left Side:
pETAILED DES-RIPTION OF,WORK
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT ✓ I
INSTALL 26 GA METAL ROOF SYSTEM
,CONSTRUCTION<INFORMATION
JAd itiona wor to (e ne orme under t is permit—check a apply:
HVAC; LJ Gas Tank Gas Piping _Shutters Windows/Doors
El a _ ❑ a
Electric Plumbing Sprinklers Generator Roof
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1 Total Sq. Ft of Construction: 3,300 S Ft.of First Floor:
Cost of Construction:$ 14,050 Utilities:0 Sewer 0 Septic Building Height:
f'OWNER/LESSEE °CONTRACTOR: .
Name NANCY SATCHWILL Name: JOE BAKER
Address:500 SANDIA AVE. Company: BIG LAKE ROOFING&REPAIRS
City: PORT ST. LUCIE State:FL Address: 2699 NW 16TH BLVD.
Zip Code: 34983 Fax: City: OKEECHOBEE State:FL
Phone No.772-87&0437 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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SCJPPLEMEN,TALVCOfVSTRUCTION UEUTAW INFQ`RMATION `� ���3� ;> ' �
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DESIGNER/ENGINEER: xxx Not Applicable MORTGAGE COMPANY: xooc Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone: )
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FEE SIMPLE TITLE HOLDER: xxx Not Applicable BONDING COMPANY: xxx Not Applicable
Name: Name:
Address: Address: I
City City: I
Zilp: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit. I
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,
a'cessory 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
commencingwork or recording our Notice of Commencement.
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Signature of Owner Agent/Lesser Signature of Contractor/License Ho der
STATE OF FLORIDA , STATE OF FLORIDA
COUNTY OF' h COUNTY OF
The for rping instru ent was acknowledged before me The forgoing instru ent was acknowledged before me
thisJITTy of 20,11 by this�'Uay of h U a CLL&20-JI by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Publ' -State of Florida) ( ignature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification roduced Type of Identification Produced
Commission No. Heft Edwardson Commission No. .a��tllna Head EdWardson
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COMMISSION#FF125216
oQ, _ COMMISSION#FF125216
-EXPIRES.: May 21, 2018
Revised 07/15/2014�'''�P°u °Q' WWW.AARONNOTARY.COM �`�.ry�F oQ°��`' www.AARONNOTARY.COM
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