HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a_`"11 1� Permit Number:
RECEIV71D FEB 0 9 2017
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 XXXXXXxx
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 8621 FLORENCE DR. PORT ST. LUCIE, FL 34952
Legal Description: LA BUONA VITA COOPERATIVE UNIT/LOT 88(OR 1974-1428:3616-2518)
Property Tax ID#: 3426-664-0087-000-0 Lot No.88
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF
REPLACE ROT 1 A 0� )
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM p v
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check a apply:
[1HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator W Roof
Total Sq. Ft of Construction: 1,200 S . Ft.of First Floor:
Cost of Construction:$ 6,480 Utilities:cnSewer I Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJ.EDWARD KASEN Name: JOE BAKER
Address:3559 NW MEAGAN CT. Company: BIG LAKE ROOFING &REPAIRS
City: GRAND RAPIDS State.MT— Address: 2699 NW 16TH BLVD.
Zip Code: 49534 Fax: City: OKEECHOBEE State:FL.
Phone No.616-821-5694 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.
=SUPPLEMENTAIL CONSTRUCTION LIEN LAW INFORMATION:
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:
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 FLORIDA STATE OF FLORI A I_
COUNTY OF__ �LP2��V1 fI -� COUNTY OF �11(����!/i
The for Qing instru nt as acknowledged before me The forgoing instr e t was acknowledged before me
this M.day of 20 11 ,by this�day of 20n by
J-01C 6,011 k.,O+
(Name of person acknowledging) (Name of 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 Identification Produced
Commission No. w!�.P.Jey; �'a NMI
Commission No. 'aJ�4'': �a �C
OMMIS`i(IIF12^018 - - COMMISSI6IV FF125216
_* - EXPIRES: May 21, _'_ _
'�= EXPIRES: May 21, 2018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS