HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
M �
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: 14456 AZUCENA CT.
Legal Description: SPANISH LAKES FAIRWAYS LEASEHOLD ESTATE (OR 2380-1934)THAT PART OF SEC AS SHOWN
IN OR 2380-1934 BEING LOT 14456 AZUCENA (BLK 31 LOT 11) (0.15 AC) (OR 2478-1156)
Property Tax ID#: 1306-501-0506-000-7 Lot No.11
Site Plan Name: Block No. 31
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL DUPONT TYVEC 160 UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all apply:
�1
OHVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: 2,600 S . Ft. of First Floor:
Cost of Construction: $ 10,400 UtilitiestSewer D Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
NameJOSEPH ZACHAR Name: JOE BAKER
Address:14456 AZUCENA Company: BIG LAKE ROOFING &REPAIRS
City: FT. PIERCE State:FL Address: 2699 NW 16TH BLVD.
Zip Code: 34951 Fax: City: OKEECHOBEE State: FL
Phone No.772-468-2150 Zip Code: 34972 Fax: 863-763-7662
t-iviaii: Phone No.
863-783-7863
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.
SUPPLEMENTAL CONSTRUCTI N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: Not Applicable
r�Wile: Ivatric.
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 Count 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 Hnme. w
owners Association rules_bylaw,or and covenant,that may restrict car 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 financine. consult with lender or an attornev before
commencing work or recordilig your Notice of Commencement.
Signat re of Owner/Agent/Lessee Signature o Contracto icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF v �LA 5Z - --r COUNTY OF V 'e c z- "L�
The Mtay
instrument was acknowledged before me The for oing instrument was acknowledged before me
this of t V-e 4y&i;,c V 20,?1;-by this ay of 20A 3 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florl a ) (Signature o Notary Publ' -State of Florida)
Personally Known OR Produced Identification Personally Known _ OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission No. HEATHEREDWARDSON mmission No.
nYp
;,on....�; HEATHER EDWAROSON
MY COMMISSION#GG 215185 *. MY COMMISSION#GG 215185
oc EXPIRES:May 21,?.02 '.;r '�o` EXPIRES:May 21.2022
Revised 07/15/2O 14 'F.'F F of. Bonded Thru Notary Public Underwriters ?F�` Bonded Thru Notary Public tinder miters
REVIEWS rMUNI LUIVIIVU 3uI•'tMV13L)m tLHIVJ VEUEIAIIUIV SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS