HomeMy WebLinkAboutBuilding Permit ApplicatiionALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services 6`�®
Building and Code Regulation Division pFRMITII.IG
2300 Virginia Avenue, Fort Pierce FL 34982 ounty, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ResiclentialsXWx—
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 6624 LILA CT. FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS - 06/07 34 39 - 6624 LILA CT.
Property Tax ID #: 1306-111-0001-000-0
Site Plan Name:
Project Name:
Setbacks Front Back: _
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
REMOVE EXISTING ROOF & REPLACE ANY ROT -�/I -
INSTALL ASTM-226 30# UNDERLAYMENT UOIL B
INSTALL 26 GA METAL ROOF SYSTEM 40 Ml✓
CONSTRUCTION INFORMATION:
Additional work to jbe performed c under this permit — ec a apply:
11HVAC L_J Gas Tank Gas Piping _ Shutters E]Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑ Generator Z Roof
Total Sq. Ft of Construction: 1,700
Cost of Construction: $ 8,580
S Ft. of First Floor:
Utilities:] Sewer ElSeptic Building Height:
OWNER/LESSEE: SHARON HANLON & WILLIAM PUPO/
CONTRACTOR:
Name WYNNE BLDG. CORP.
Name: JOE BAKER
Address: 6624 LILA CT. / 12804 SW 122ND AVE.
Company: BIG LAKE ROOFING & REPAIRS
City: FT. PIERCE / MIAMI State: FL
Zip Code: 34951 / 33186 Fax:
Phone No. 772-618-5421
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: BIGLAKEROOFING@YAHOO.COM
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:
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name: _
Address:
City: _
Zip:
Phone:
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:_
Zip: _
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
Applicable
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
commencine work or recording vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLOV&C-L0�6e,,0
00UNTY OF &ee j� COUNTY OF
The forgoing instrument was acknowledged before me The for cling instrument was acknowledged before me
this ay of 1�C� 2011by this y of (�1.oliUMA@. 04 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification roduced ,�a r �1
Commission No. a���y Pia�.,,� Hier Eaton
`"' COMMISSION # FF125216
21, 2016
Revised 07/15/2014 ; ,Q ;;o�www•AAROHNOTARYMM
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
��sann„ 'p' It1
Commission No. �. PNY•P,ti�'�,,� Heat giEdwalp Son
COMMISSION # FF125216
evoioce• Hhlf 91 91119
%,•, c+FM, www.AAROVOTARY.COM
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