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HomeMy WebLinkAboutBuilding Permit Application i } v ALL APPLICABLE I FO!�Lr BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ( ©.._,� 7 C, 1 _ �' LZA00.19 in IOAR g�� q � 20g7 E°9a�U1 1 D Building Permit Application Planning and Development Services . LucieLucieei e GD2g��nr�'1�J�u ,1 . �F8, 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: To Select from dropbox, click arrow at the end of line Rae PROPOSED IMPROVEMENT LOCATION: Address: B ilding 18 Sparkling Pines Circle Fort Pierce FL Legal Description: Twn/Sec/Rng .18/34S/40E Property Tax ID#: 1418-231-0001-000-3 Lot No. Site Plan Name: Block No. Project Name: Heathenuay Setbacks Front Back: Right Side: Left Side: 'DETAILED DESCRIPTION OF WORK: Remove existing 3 Tab shingles. Re-nail wood deck. Dry roof in with self-adhered underlaymen Install OWENS Corning Supreme Shingles. FL 16048-R4-Tribuild Sand Underlayment [ L1.6074-R12 Owens Cornina Su reme Shingles CONSTRUCTION INFORMATION: Additional worko e e orme under this permit—check a apply: (]HVAC 13 Gas Tank ❑Gas Piping 11_Shutters ❑Windows/Doors Electric 0 Plumbing ❑Sprinklers O Generator Roof Total Sq. Ft of Construction:_ 4,652 S .Ft.of First Floor: Cost of Construction:$ 19,066.40 Utilities:1]Sewer Septic Building Height: OWNER/LESSEE:' 'CONTRACTOR: Name Heatherway Ft. Pierce, Ltd. Name: Christopher A.Long Address: 200 Witmer Road Company: The Roof Authority,Inc. City: Horsham State:per, Address: 6771 North Old Dixie Highway Zip Code:19044 Fax: City: Fort Pierce State: FL Phone No. 772-468-2333 Zip Code: 34946 Fax: (772)468-2247 E-Mail: heatherwaylaura(a-aol.com Phone No. (772)468-7870 Fill in fee simple Title Holder on next page(if different E-Mail: tral993@gmail.com from the Owner listed above) State or County License: CC C056933 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 commencing worleQr recording our Notice of Commencement. s _Signature of ner/Lessee/Agent ' ature of Contractor/L' older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST Lk e/f COUNTY OF -9 �t�n rE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this�day of_ ffi R bt 20 !Eby this 16 day of M n_ !, 20 17 by (Name of person acknowledging)Owner/Lessee/Agent Printed Name (Name of person acknowledging)Contractor's Name 1 tC.T�[ce, �J�Anrio C!L[cfi.a� _ l,Ge�tJ2ta 1r1�nh�z� `1!12��rLf'��a� (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.f'F 49R 795 Jission No. Fr��$ 7R5 ( VICTORIA HEN VICTORIA DIANNE Mc My COMMISSION#F MY COMMISSION#F 87952 •J 21 0 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS