HomeMy WebLinkAboutRipley permit appALL APPLICABLE INFO MuST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Plann.Ing and Development Services
Building and Code Regulation DivisionI 33h°o°n¥`.:r#:)A4V::::;:°3rf:`aex'::7F;23)4£:2_1578 commercial Residential xxxxxxxx
PERMITAPPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION: i 1
Address: 6643 NUEVO LAGOS FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS BLK 41 LOT 7 (OR 4127.1976)
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propertyTax |D #: 1306-500-0109-000-1 Lot No. 7SiteplanName:BlockNo.ul
Project Name:
Setbacks Front Back: Right side: Left side:
DETAILED DESCRIPTION OF WORK: i I
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL 2 LAYERS OF DUPONT TY\/EK PROTEC 160 UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION INFORMATION: i I I
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EE,ectric Ep,umbing Esprink,ers EGenerator ERoof
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OWNER/LESSEE:CO NTRACTO R : I11
NameBENEJAH RIPLEV Name: JOE BAKER
Address: 6643 NUEVO LAGOS Company: BIG LAKE ROOFING & REPAIRS
city: FT. PIERCE state:FL Address: 2699 NW 16TH BLVD.
Zip code: 34951 Fax:city: OKEECHOBEE state: FL
Phone No. 518-744-762o Zip code: 34972 Fax: 863-763-7662PhoneNo.863-763-7663
E-Mail:
Fill in fee simple Title Holder on next page ( if different E-Mail: BIGLAKEROOFING@YAHOO.CoM
State or County License: CCC046939from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL cdNSTRugloN LIEN LAW INFORMATlqN: \J,:,
R:Sj::NER/ENGINEER: -ystsNotAPplicable #a°mReT:GAGE CoMPANV: Tpr\NotApplicabie
Address.Address:
City: State :City: State:
Zip: Phone, /Zip: Phone: `'
FEE SIMPLETITLE HOLDER! \ELNot ApplicableName:
R8Tep`NGCOMPANY: ey=NotApplicabie
Address:Address:
City:City:
Zip: Phone:Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
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ln 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
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commencin work or recordin our Notice of Commencement.
Signature of Owner/ Agent/ Lessee
STATE OF FLO
COUNTY OF
(Name of person acknowledging )
(Signature of Notary Public-State of Florida )JiPersonally Known OR Produced Identification
Type of Identification-Produced
Commiss.Ion No.
STATE OF FLORl
COUNTY OF
Thhi:ELELgy':itr#nge2dogfib:fyoreme
(Signature of Nota
Personally Known
ry Public-State of
OR Produced Identification
Type of Identification
EDWARDSON
•.*.: MYCOMMISSION #GG 2151
mission No.ER EDWARDSON
MY COMMISsloN # GG 215185
Revised 07/15/2014 9F.F`tY``` Bonded Thru Notary public underwri.ters Bonded Thru Notary Public Undeiwiters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TU RTLE MANGROVE
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