HomeMy WebLinkAboutBuilding Permit Applicationi � 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
ICED
Building Permit Application N�� 20�7�
Planning and Development Services
Building and Code Regulation Division PERPAI i iPrG
2300 Virginia Avenue, Fort Pierce FL 34982
S1. Lucie County, F_
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxXoax
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 11 CALLE DE LAGOS 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 _
NSTAALLA TIM- 26 0#STING OUNDERLAYMENT F & REPLACE Y ROT
INSTALL 26 GA METAL ROOF SYSTEM Iv RDME
CONSTRUCTION INFORMATION:
Adclitionalworlitobenertormed under this permit— check
EIHVAC Gas Tank ❑Gas Piping
all apply:
In _ Shutters
Windows/Doors
Electric Plumbing
Sprinklers
E Generator
Fv'] Roof
Total Sq. Ft of Construction: 1,500
S . Ft.of First Floor:
Cost of Construction: $ 7,125
Utilities: LJ Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:,
Name GERARDO MANZI / WYNNE BLDG. CORP.
Name: JOE BAKER
Company: BIG LAKE ROOFING & REPAIRS
Address:11 CALLE DE LAGOS / 12804 SW 122ND AVE.
City: FT. PIERCE / MIAMI State: FL
Zip Code: 34951 / 33186 Fax:
Phone No. 305-978-2070
E-Mail:
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
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: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: of Applicable
Name:
Address:
City:
Address:
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
commencina work or recordina vour Notice of Commencement.
i
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLO . IDA pp
COUNTY OF 0t4&-ffJn ab�� COUNTYOF—
The ing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
this day of DV 20 il by this ��
for
of b1bVfAnl � . 20_A7 by
:k) 1r, 6 Z k4N' 'Toe ems^
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of IdentificatYnPro�duced
tether Edwardson I Commission No.
COMMISSION # FF125216
1f'(/61��� Heft Edwardson
COMMISSION # FF125216
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