HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 al, 11 Permit Number: �10"3�G a3
CjI`.':D AR 2� 2017
Building e mit pplication
Planning and Development Services
Building and Code Regulation Division
23.00 Virginia Avenue,Fort Pierce'FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential xXXXXXXx'.
PERMIT APPLICATION FOR: 'Roof
PROPOSED IMPROVEMENTLOCATION.-
Address: 14 OCTAVIO FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUBVILLAGE
PropertyTax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DET,4ILED DESCRIPTIONO F WORK:
REMOVE EXISTING ROOF-AND REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT J
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION}INFORMATION
Additional work to be ertormed under t ispermit—c eck all appy:
' I�HVAC • Gas Tank Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator W Roof
Total Sq. Ft of Construction: 1,100. S . Ft.of First Floor:
Cost of Construction:$ 5,550 Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE: ,CONTRACTOR;
Name SUSAN LARISON/WYNNE BUILDING CORP. Name: JOE BAKER-- .
Address:-14 OCTAVIO/12804 SW 122ND AVE. Company: BIG LAKE-ROOFING&REPAIRS
City: FT. PIERCE/MIAMI State:FL Address: 2699 NW 16TH BLVD.
Zip Code: 34951 /33186 Fax: City: OKEECHOBEE State.FL
Phone No.772-979-5498 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: BIGLAKEROOFIN6@YAHoo.com. .
from the Owner listed above) State or County License: CC.0046939
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
:SUPPLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: xxx Not Applicable MORTGAGE COMPANY: xxx Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x= Not Applicable BONDING COMPANY: xxx 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.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA //_ STATE OF FLORIDA
COUNTY OF � r�i i�1i�Qv COUNTY OF Lk__ae r_ -rQ -r'
The forgoing instrument was acknowledged_before me The forg ing instrument was a cnowledg d before me
thisaAay of Marl 2611=by this%ay of 1 20 b
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known o O Produced Identification
d
Type of Identification Produced Type f Identification i i tification�ceR d
Commission No. (Seal) Commission No. (Seal),
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE f221-17
INITIALS