HomeMy WebLinkAboutBuilding Permit Application 1 II
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -1
Date: �. 1-7 Permit Number: r1` Q y - 0 5N�1S
Building Permit Application RECEIVED
Planning and Development Services APR 2 0 2017
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 IM PROVE MENTLOCATION:
Address: 6789 YEDRA FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS
Property Tax ID#: 1306-111-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT MOB
/� O r/� l L E
INSTALL ASTM-226 30# UNDERLAYMENT / f`�
INSTALL 26 GA METAL ROOF SYSTEM 4D nn nn
CONSTRUCTION INFORMATION
Additional work to be i3ertormed un er t is permit-check all that apply:
1IHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric El Plumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: 1,650 Sq. Ft.of First Floor:
Cost of Construction:$ 6,950 Utilities: 0Sewer Eheptic Building Height:
OWNER/LESSEE: I CONTRACTOR:
Name TIM DURAND/WYNNE BUILDING CORP. Name: JOE BAKER
Address:6789 YEDRA/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.321-339-9154 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: CCC146939
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i
I _
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: xxx 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 FLOA STATE
COUNTY OF Q COUNTOY OFOU�e_G{2 C,(2:e�
The forgo'?g instrum nt was_acknowledF-,'hefore me The forg i instrument wad acknowledgedl�efore me
this]��da'y of 26 by this y of Prc 20 1 /by
(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 OR Produced Identification
Type of Identification Produced Type of Identification Produced
y Ply
Commission No. Heat EqwarN_n Commission No. ``��P� p�e''% o*eadVr495o9i
COMMISSION)FF125216 L
.0 �_ COMMISSION#FF125216
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EXPIRES: May 21, 2018
%',; WWW.AAROh' OTARY.00M , F . oP�,� r
Revised 07/15/201�1111„` 'ur�j�lit WWW.AARONNOTARY.00kri
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