HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/23/2017 Permit Number:6 n17
RUED �D JAS
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: 1405 North 37th Street Fort Pierce, Florida 34947
Legal Description: Sunland Gardens BLK 26 Lot 11 (0.12 AC)(OR3527-1923)
Property Tax ID#: 2405-601-0477-000-8 Lot No.11
Site Plan Name: Sunland Gardens Block No. 26
Project Name: Roofing
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing roofing, renail deck, install new base and cap sheet
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas PipingOGenerator
Shutters ❑Windows/Doors
Electric ElPlumbing []Sprinklers Roof Roof pitch
Total Sq. Ft of Construction: 300 S Ft.of First Floor:
Cost of Construction:$ 2.100.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameRonald Smith Name: Larry McDonald
Address:4056 Greenwood Drive Company: Southeast General Contractors Group, Inc.
City: Fort Pierce State:FL Address: 20423 SR 7-Suite F6418
Zip Code: 34982 Fax: City: Boca Raton State:FL
Phone No.(772)370-6502 Zip Code: 33498 Fax: (877)756-0007
E-Mail: Phone No. (877)407-3535
Fill in fee simple Title Holder on next page(if different E-Mail: Lmcdonald@southeastcontracting.com
from the Owner listed above) State or County License: CCC1330002
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. ,�
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:.
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 th first inspection. If you intend to obtain financing, conult with lender or an attorney before
commenAng work or recording our Notice of Commencement.
J�,& AA s
Signature of wner/Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder `
STATE OF FLOR D ) STATE OF FLOR
COUNTY OF J COUNTY OF_
The formoin instrument was acknowled a before me The forgoing instrument was acknowledged before me
this day of--V(p 20�by this day orMV \,_V \T 20 L by
(
(Name of per on acknowledging) (76rson acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida )
Personally Known OR Produced Identification Personally Known X, OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission N ,p''" NICOLLETTEBENICHI ommission No. NICOLLEITEBENI 0
41 MY COMMISSION#FF11221
EXPIUS:July 18,2018 MY COMMISSION N FFI 19
EXPIRES:July
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS