HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:z4i �11 1 �7 Permit Number: -
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MAR 1 li 2017
Building Permit Application Public Works
Planning and Development Services St- Lucie county, FL
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial _�X_ Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line CC
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PROPOSED IMPROVEMENT LOCATION:
Address: Building 24 Sparkling Pines Circle Fort Pierce FL
Legal Description: Twn/Sec/Rn 18/345/40E
Property Tax ID#: 1418-231-0001-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Weatherway
Setbacks Front Back: Right Side: Left Side:
DETAIL'-ED 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
FL 10674-R12 0 wens.Corning Supreme Shingles
CONSTRUCTIONS INFORMATION:
itlona work o be ertormed under this permit—check all apply:
�HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing ❑Sprinklers O Generator Roof
Total Sq. Ft of Construction:_ 3,597 S . Ft.of First Floor:
Cost of Construction:$ 14,7AS-43 Utilities:cnSewer 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: heatherwaylauraRaol.com Phone No. (772)468-7870
Fill in fee simple Title Holder on next page(if different E-Mail: tra1993@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.
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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 work or recording our Notice of Comm enceme t.
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_Signature of Owner/Lessee/Agent ignature of Con ractor/ ce a H01
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sr 1-tte,/0 COUNTY OF S1 �c•e/�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this /3'�' day of Ma rah 20 117 by this/Vb day of Maj-e A .20 77 by
-per LA-3
(Name of person acknowledging)owner/Lessee/Agent Printed Name (Name of p rson acknowledging)Contractor's Name
K1_Ch1�/lL M l(I!]vIO, ///�/1/� /L7 l./P aieA. )E-IO AtxD
(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 N0. 1= 5 tZ�RIADIANNEMcKUHEN ommission No.rI=498'79S
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VICTORIA DIANNE KUJNWIRES:July 21,2020F99
E PIRES:July 21 020
Revised 07/15/2014rvvvvw
REVIEWS FRONT ZONING . SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS