HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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: 6669 GAVIOTA FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS BILK 38 LOT 17
Property Tax ID#: 1306-500-0032-000-0 Lot No.
17
Site Plan Name: Block No. 38
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION INFORMATION:
Additional work to e performed under this permit—check all apply:
11HVAC Gas Tank ❑Gas Piping tn_Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers 13 Generator Roof
Total Sq. Ft of Construction: 2,700 S Ft. of First Floor:
Cost of Construction: $ 12,350 Utilities: Ft
OSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameBONITA R. DOTTER Name: JOE BAKER
Address:6669 GAVIOTA Company: BIG LAKE ROOFING &REPAIRS
City: FT. PIERCE State:FIL Address: 2699 NW 16TH BLVD.
Zip Code: 34951 Fax: City: OKEECHOBEE State: FL
Phone No.505-217-6030 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.
SUPPLEMENTAL CONSTRUCTION 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: 4— Not Applicable BONDING COMPANY: 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.
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Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLO I �" r^I' STATE OF FLORID
COUNTY OF ,VIi1VX COUNTY OF 'E'� .e(. /1� ,e
The f r o'ng instru ent was acknowledged�efore me The forgping instru ent was acknowledged before me
thisa of 20 by this y of 20f�a
A�R /
(Name person acknowledging) (Name of person acknowledging)
(Signature of of y Public-State of Florida ) (Signs o Notary Public-State of a)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
�R EDMRDSON ,,F�EnWAP.DSCN
Commission No. ;'��Y?� H��� cr,215185 Commission No. v6 a•,. _ f''ea ij ItGG215185
MY COMMI SIGN# _ MY CpM op22
ro EXPIRES:May 21,2022 =.; *_ EXPIRES:May 21,
s; P`= PubliclJndenyriters
Bonded ru
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS