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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED —1
Date: Permit Number:
2217
_ 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 xXXXXXXx
PERMIT APPLICATION FOR: Roof
-PROPOSED IMPROVEMENT LOCATION:
Address: 125 CALLE DE LAGOS FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE
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. "
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT a 0 `(3 , ��
INSTALL 26 GA METAL ROOF SYSTEM
KOSTRUCTION'INFOR^M ATION:
Additional work to e e orme under this permit—check a apply:
0HVAC 13 Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric El Plumbing Sprinklers FI Generator W Roof
Total Sq. Ft of Construction: 1,600 S Ft. of First Floor:
Cost of Construction:$ 8,250 UtilitiestSewer Septic Building Height:
OWNER%LESSEE: CONTRACTOR:
Name BARBARA WRIGHT/WYNNE BUILDING CORP. . .Name: JOE BAKER
Address: 125 CALLE DE LAGOS/12804 SW 122ND AVE. Company: BIG LAKE ROOFING &REPAIRS
City: FT. PIERCE/MIAMI State:FIL Address: 2699 NW 16TH BLVD.
Zip Code: 34951 /33186 Fax: City: OKEECHOBEE State:FL
Phone No.502-262-6653 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 Gt 59t<
If value of construction is$2500 or,more,a RECORDED Notice of Commencement is required.
I
SUP,PLEMENTAL.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: '_CNot 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 Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLOR DA STATE OF FLO 14A I
COUNTY OF COUNTY OF The forgoing forgoing instrument was ackn wledged before me The forgoing instrument was a knowledg d before me
this�Vy of 20 Mby thia9 y of ����pi 201jiy
—Y
(Name of person acknowledging) (Name of person ackno ledging)
(Signature of Notary Public-State of orida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of IdentificationKrouced
Commission No. uu; Commission No. .��`nv"�';�i.,� Heathef'Edwardson
HeM Edwardson
16 � = COMMISSION#FF125216
PO MISSIOUFF1252
EXPIRES: May 21 2018 o� y
Revised 07/15/2014'-�:......Lo��°�� '6 o'r'no ��� wwwAARONNOTARY.COM
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