HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I~ Q0/2Date: 2/15/17 Permit Number: In " 00 /-'
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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: 63 FLORES DEL NORTE FT PIERCE FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB-63 FLORES DEL NORTE FT PIERCE FL 34951
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW METAL ROOF (MOBILE HOME)
CONSTRUCTION INFORMATION:
Acid itiona I work to e e orme under t ispermit—checka apply:
11HVAC Ei Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric 1:1 Plumbing ❑Sprinkler's- E]Generator W1 Roof 2.4/12 Roof pitch
Total Sq. Ft of Construction: 1550 Sq. Ft. of First Floor:
Cost of Construction:$ 7990 Utilities:0 SewerEl Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name BERNADETTE HORBACZ Name: CHARLES RICHARDS
Address:63 FLORES DEL NORTE Company: ALL AREA ROOFING
City: FT PIERCE State:FL Address: 3921 S US HWY 1
Zip Code: 34951 Fax: City: FT PIERCE State:FL
Phone No.732-804-5487 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC1326177
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: _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
commen,qing work or recording our NotiSp of Commencement.
KX az&4 17, I'Lt'A f/4 'Q
s
Signature of Own er/Lesse /C ' tractor as Agent or Owner Sign atu Contractor/License of e
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O F ST LUCIE COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of — 12t@ 20 JZby this 1 Jr day of rebry A.r 20 L by
CHARLES RICHARDS CHARLES RICHARDS
(Name of person acknowledging) (Name of person acknowledging)
All
gnature of Notary Public-State of Florida) (Sign re of Notary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. _4yP1 FAITH MAs*a1)
`o'0 l/k FAITH MASON * '�� 6* MY COMMISSION#G0003939
*C.
MY COMMISSION#GG 00393 N r EXPIRES:June 20,2020
m �eEXPI ES;June 20, � of P��` MUW Thnl Budget Notary SaMu®
Revised 07/15/2014 �'�er� ° 4mW TW 4'Agsl Wary®ervlse.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS