No preview available
HomeMy WebLinkAboutBUUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: §ffo HeeGEE-NIiF27 Permit Number: E E © Bi B D Z3]~ Building permitAPplication Planning and Development Services Building and code Regulation Division Commerc.lal 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Residentia I xxxxxxxxxxxxxxx PERMIT APPLICATION FOR: RE-ROOF PROPOSED IMPROVEMENT LOCATloN: Addres 6"flTULIPAN FT. PIERCE, FL 34951 Property Tax lD #: Site Plan Name: Project Name: 1306-500-0273-000-1 Lot No. 20 BIock No. 54 DETAILED DESCRIPTION OF WORK: REMOVE EXISTING ROOF REPLACE ROT INSTALL S/A TITANIUM UNDERLAYMENT INSTALL 26 GA METAL ROOF New Electrical Meter Second Electrical Meter CONSTRUCTION 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 Roof Total Sq. Ft of Construction:3,700 Cost of Construction: $ 16,650 Sq. Ft. of First Floor: 5 pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE:CONTRACTOR: Name DIANNE MILDENBERGER Name: JOE BAKER Address: 6718 TULlpAN Company: BIG LAKE ROOFING & REPAIRs city: FT. PIERCE State:Address: 2699 NW 16TH BLVD zip code: 34951 Fax:city: OKEECHOBEE state: FL Phone No. 772-359-6364 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 State or County License CCC046939from the Owner listed above) lf value of construction is 2500 or more, a RECORDED Not.lee of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. €J` •=1., `.: :`- I I+ .A,.I, -, ,.:.,;,` : v. ;= `.+.. I `,- `;,```-, , -I,: ' i ):.-,;':•<,, ,)`-,I,f,.?A(,,,,`l,-,, r:,`-,I , :". ' ,1```,,~-I-`-,`,,.,,I,,,.``t,,,-,'r-(,,`'``,,,,,,,```1(:,I,,.,``.,/}\-,,.,i,:..,'`,-"..j'':I,-``:,...,-i,.\`+I,.;`=,.,-,,I-:..€`..'.;I,..`1',-,-.,\ ,,i, ,/,c\`-.\,;``,, . , ` ., (`L-,`-I,v¢,..,.J!,,\'``>: , :. `?,,, ( '`'`. y`rN-I..\. I `)~'DE`sti^aNER7`Eit aiNEER: LNot.a pp,ica6,e MORTGAGE COMPANY: Not Applicable I,,-Name. Address:City: State: -ess.city: State: - Zip: Phone:Zip: Phone FEE SIMPLE Tl TLE HOLDER:Not Applicable BONDING COMPANY: Not Applicable t''-Name. `'.-Address. City.City: Zip: Phone:Zip: Phone: OWNER/ CONTRACTOR AFF IDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated, I certify that no work or installation has commenced prior to the issuance of a permit. :#tifccu!cj::::c::n:t!:cTt:-:,:ti,:a:wi:ahppryF:if#F:tLfi:6haaiiisg!ars:i;,gao,a,;pan?i:a:n;tr,u#6a#:o!szi:te:d:f.;:#e:sigr:tcrht;3n%ua#.:#c:t;5£;p:r,Sytrriubi|usruech ln consideration of the granting of this requested permit,I do hereby agree thainaccordancewiththeapprovedplans,theFloridaBuildingCodesandSt.Lucit I will, in all respects, perform the workeCountyAmendments. The following bui ding permit app ications are exempt from undergoing a full c oncurrency 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 resul t in paying twice for improvements to your property. A Notice of Commencement must be recorded in the publi c records of St. Lucie County and posted on the I.obsi te before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. ¢.=]i-`:`i bJ`---. `--.(-q-;.;--I-- Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder §bAUT#FOFFL°#ELan ~ ap'€bAUTE£FOFFL°R[ , rr,A Sw n to (or affirmed) and subscribed before me of #ELffi#y:off:::::#g:Its::Scrbbne,?n:ef:rt:rTz:t::n202&bytls\#fr=€_nrj=zTonlln¥r;zation IT8 { i42- ::r:oen¥eKr::::akKtoeRmpernotduced,dent,ficat,on Namrofperson making statemeit. `` PersonallyKnownutoRproducedldentification Type of Identification Type of lde ntification Prod uced _Produced i-T=- /` J, ~_xp<= (SignaturEofNotaryp .-teofF16rida J~ ` `- Com missi on N o ..```€;`:`.'`#.: ``.,,, .-`.I ..'¢*,,,,HEATWARDSa N ][[[[[[[[[[IRI `. TfflRE. .. . , , ,,. , i I , , . , , dr 1 `.*=-.^{{:T``.^ _ EXPIRES: M`puliueoIr7ruNote • 1 -.- ;1` ) 8 .i C! 5ay2'',`/,-.12 REVIEWS ZONING SUPERVISOR PLANS ife,=".VEGETATION9L3=--FRONT SEA TU RTL COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATERECEIVED DATECOMPLETED ev.51612JJ