HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 1`1 1 1-00-CL-1
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Building Permit Application NOV
Planning and Development Services 2017
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xXXXXXxx —
PERMIT APPLICATION FOR: Roof
.PROPOSED IMPROVEMENT LOCATION
Address: 22 ECUADOR WAY FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE - 1 34 39
Property Tax ID #: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED, DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE
ANY ROT
INSTALL ASTM-226 0#UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
F]HVAC Gas Tank
❑ Electric ❑ Plumbing
Total Sq. Ft of Construction: 1,600
Cost of Construction: $ 6,950
under this permit —cnecK all tna apply:
❑Gas Piping _Shutters
Sprinklers ❑ Generator
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Windows/Doors
7 Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MARY KOVACS / WYNNE BLDG. CORP.
Name: JOE BAKER
Address: 22 ECUADOR WAY / 12804 SW 122ND AVE.
Company: BIG LAKE ROOFING & REPAIRS
City: FT. PIERCE / MIAMI State: F�
Zip Code: 34951 / 33186 Fax:
Phone No. 772-464-5529
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
E-Mail: BIGLAKEROOFING@YAHOO.COM
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone:
9
FEE SIMPLE TITLE HOLDER: _ of Applicable
Name:
BONDING COMPANY: Not Applicable
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
commencine work or recordine vour Notice of Commencement.
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Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF &k-�ejnbe.-! I COUNTY OFI
The forgo inst�ru�ment was acknowledged before me The for oing instru ent was acknowledged before me
this► day of Iy [��i P,/e%1 20 1 by this ay of D 20 by
:tQ-&- 6) a �=� 1_0 & C9 0, k;�
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public -State of Florida )
Personally Known _ 14 OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/201
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
He4fto Edwardson Commission No.
COMMISSION # FF125216
EXPIRES: Wa
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Hhor Edwardson
COMMISSION # FF125216
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