HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�.' 4J ,
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: 6624 ALHELI FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS BLK 39 LOT 15
Property Tax ID#: 1306-500-0053-000-3 Lot No.15
Site Plan Name: Block No. 39
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL 2 LAYERS OF DUPONT TYVEK PROTEC 160 UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION INFORMATION:
Additional work to (e net orme under this permit—check a apply:
E1HVAC I—I Gas Tank Gas Piping _Shutters a Windows/Doors
11 Electric 171 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3,600 Sq. Ft. of First Floor:
Cost of Construction: $ 15,950 Utilities: Sewer D Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameDAVID DRUCKENBROD Name: JOE BAKER
Address:6624 ALHELI 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.330-354-1988 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: CCC046939
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.
G� ®G
Signature of Owner/Agent/Lessee Signa ure of Contractor/License Holder
STATE OF FLO I A STATE OF FLORID
COUNTY OF M-ec- • e COUNTY OF 5t�
The fo °f ng instru ent was acknowledged before me The f9r 'ng instru •ent was acknowledged before me
this `"tlay of -e {` ✓. 20�J by this `day of c 20,A1 by
16C a �
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of orida ) (Signature of Notary Public-State o orida)
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification roduced Type of Identification Produced
Commission No. ommission No.
— <^n�'•b?<, THER EDWARDSON
<P�Y Pie' HEATHER EDWARDSON ,= MY COMMISSION#GG 215185
MY GoMmissir)?d .ev may ,2022
EXPIRES:May 21,2022 .. F•i
Revised 07/15/2014 Banded Thru Notary Public Underwriters Bonded Thru Notary Public Underwriters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS