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Building permit app
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:sjFOELu@EE=rs0 F I © R I ® ffi<L Building permitApplication Planning and Development Services Building and code Regulation Division Commerc ial Residential XXXXXXxxxxx 2300 Vjrg.inia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 pERM|T APPLICATION FOR: RE-ROOF PROPOSED IMPROVEMENT LOCATION: Address: 14506 AGUILA FT. PIERCE, FL 34951 Property Tax |D #: 1306-500-0304-000-8 Lot No.48SiteplanName:BIockNo. 62 Project Name: DETAILED DESCRIPTION OF WORK: REMOVE EXISTING ROOF AND REPLACE ROT - INSTALL TITANIUM PSU-30 SELF ADHERED UNDERLAYEMENT INSTALL 26 GA GULF RIB METAL ROOF SYSTEM New Electrical Meter Second Electrical Meter CONSTRUCTloN INFORMATION: Additional work to be performed under this permit -check all that apply: Mechanical Gas Tank Gas piping Shutters Windows/Doors Pond Electric Plumbing _Sprinklers Generator ckRoof 5/12 Pitch Total sq. Ft of construction: 3,100 Sq. Ft. of First Floor: Costofconstruction: $ 15i600 Utilities: _Sewer _Septic BuildingHeight: OWNER/LESSEE:CONTRACTOR: NameGARY SIMMERS Name:JOE BAKER Address: 14506 AGUILA company:BIG LAKE ROOFING & REPAIRS city: FT. PIERCE State:Address:2699 NW 16TH BLVD. zip code: 34951 Fax:city: OKEECHOBEE state: FL Phone No. 772-979-2514 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.Mai|BIGLAKEROOFING@YAHOO.COM State or County Licenseccc046939from the Owner listed above) lf value of construction is 2500 or more. a RECORDED Notice of Commencement is required. lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. I/':'.``'``!-i`~``i:^;.*`J(/~:!`.'r.!~`_`''`J.:,'`i,_?`.:\`.\,`,I-,,`(`+:,`/`,.::::`.):..``rri?:,:'I(.`;/.`S,I`;-``,:t`i,-:_,'^i)I::-.i,`{`/\.;`:.`L`\+`+!i!:.*S: )ri.:i:``\`:'r;I.I;`,` (I I_II.i:,s;;.?i'\',`,..`,:::,,.I:,.!,i.,)MOR TGAGE COMPANY: I I(iNotApplicable (:;.,,:,,.,(',..,--,,,:,,?:,,,,,A;;.:\':`,-:?-,.`r`,,,,lil:(-h,;,,,,,s,,;(:, '.:!';;;,i:fit,:.`:;.;;'!:;:r:xy:i!S,:....,.::::,;.`:--:::;;,,.::;,,:;;_.i`;,:::i,;i:f|!::|!!i :,:v,.`r,„`,(J`:;!,`,`,,p.I;,>;-.`i>,t\,,t`,.i,`..,;,1t-4 I R:s+::NER7ENGiNEER: ng=NotAppiica b e Name:I Address.Address: City, State:City:State: _ Zip: Phozip: phone / I FEESIMPLETITLE HOLDER: ff>NotAPplic able B0NDING COMPANY:NotApplicable|I Name.Name: Address:Address:II City:City:I Zip: Phone:Zip: Phone:II I OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work ation as indi|cated. I certify that no work or installation has commenced prior to the issuance of a permit. I #pLLccutcj:#gngt#¥:w:i:i,:aowjteahppry£:Su:Fn#:tLfi55h;a§;Ssgraars:t;;,£otaf;pans,:o:n:trru#;Ea#%o#Szfgte5d#a#nt;n;e3s{t#crht;gnSua#,##Sc:t;gaFfr,#rjubf{us[uech I 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, t accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WA:TNc:|oG::u3ne:?¥:d::y5:ut°reu3rrf:an;I:#eeyt,:A:i,;#:af%Nfr°€t:Ch:e°rif,:C:°tcmFn¥::ni:#i:ifge:|e|ii:#;e::t!nao¥i:e:in##:fn::,Cnogr,dcs!:fs:it with lender or an attorney before commencing work or recording your Notice of Commencement. `-`-j=``--` T.. i-- --st G32= Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder ScTOAUT#T°vFOFFL°R`!`-?F:.`=.._.-.``.`+<`.`.--'```-ScTOAUT£T°vFOEFL°R'P± .`:. ={... .. `, . .: .`= ._. :, :i_ ..=. #EifelaoFf::T:en.d#r=r'be;::§o„reb#OnlineNotarization=ffjFBfiJcen ELifeTfii3 or affl.rmed) and subscribed before me ofCa]:frgffi=A°{~°nh,n:o#tabr;zatlon Name Of person making statement.Naiffle of person making statement. Personally KnowTypeofldentific antELORproduced,dent,f,cat,on IPersonallyKnownORproducedIdentificationI TVpe of Identification , Produced Produced tI •\ rT> Cl c# /xat ',,,,i (Signature of Not y ``[}`ra.¥£#:,:,,Jla lcHt'ARERffiwA=N`gur A -(Signature of Nota commlssIonNO§*i:€c¥o`:;o=BOMnYed€#::;!##!,::2n:!e%:t:rs REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TU RTLE MANGRd VE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIE DATERECEIVED DATECOMPLETED eN-±1b1-I:H