HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFgU-qL_BE COMPLEUD FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: 6615 LILA CT. 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 �/ O
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION
Additional workto be nertormed under this permit—check all apply:
1]HVAC 0 Gas Tank E]Gas Piping Shutters E]Windows/Doors
F]Electric - 1:1 Plumbing []Sprinklers 11 Generator Z Roof
Total Sq. Ft of Construction: 1,700 Sq. Ft f First Floor:
Lt. o i s
Cost of Construction:$ 7,750 Utilities: USewer[]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MERRILYN MOULTHROP WYNNE BUILDING CORP. Name: JOE BAKER
Address:6615 LILA CT./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.518-796-2435 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.
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 Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA (� � STATE OF FLORIDA r
COUNTY OF C, J,,Y� COUNTY OF
The f�giig instrument was a knowledged before me The forgo)ng instrument was acl nowledged before me
this' `+r y of GZ 20 �_by this?C ay of 20_'1 by
(Name of person acknowledging) (Name of person acknowledging)
� r
(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. „ Commission No. daMr
Helier Edwar soy o R..PN��, Edwardson
SAM
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