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BLOUGH permit app
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATloN TO BE ACCEPTED Date: Permit Number: §ffoHOu@EES0 fi E © R B ® @<::.~ Building permitAPplication Planning and Development Services Building and code Regulation Division Commerc ia I Residential XXXXXXxxxxx 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: RE-ROOF PROPOSED IMPROVEMENT LOCATloN: Address: 14237 DULCE REAL FT. PIERCE. FL 34951 property Tax |D #: 1306-500-0345-000-7 Lot No. 7SiteplanName:BlockNo. 74 Project Name: DETAILED DESCRIPTION OF WORK: REMOVE EXISTING ROOF REPLACE ROT INSTALL S/A TITANIUM PSU-30 UNDERLAYEMENT INSTALL 26 GA GULF RIB METAL ROOF SYSTEM New Electrical Meter Second Electrical Meter CONSTRUCTION I NFORMATION: 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 5/12 Pitch Total sq. Ft of construction: 31600 Sq. Ft. of First Floor: Cost of construction: $ 16.350 Utilities: Sewer _ Septic Building Height: OWNER/LESSEE:CONTRACTOR: Name HUBERT BLOUGH Name: JOE BAKER Address: 14237 DULCE REAL Company: BIG LAKE ROOFING & REPAIRS city: FT, PIERCE State: EL Address: 2699 NW 16TH BLVD. city: OKEECHOBEE state: FLzip code: 34951 Fax: Phone No. 616-299--3544 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 aibove) lf value of construction is 2500 or more, a RECORDED Notiee of Commencement is required. lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DP., or # •,(.,,,,--,,',,jir},i.,`,:(-.v,,(I,:.-,;?,:.,i?v',I../,,,y,,``.-',i, :.)i,---`:1:?-i!(\;,\,"i,.,,,.,r,,3::,:.,,,.\,,(,,:-,:,I,,,.\,-``,"yi.-i-,,,,Y..,,i,,DESIGNER/EN.6;Kf i±k.„`` r` ; ^f j\>aFTcf bA•`; I+I).`^' ; ' .`'+`'``. .'., :` I.\`\` .-, :I ``- <`1 lri Ur I . ( `1 '1pplicable 'REORTG`aaEc.oMPANy: ELNotAppiicabie Name. I..- city: State: -city: State: - Zip: Phone:Phone B0NDINGCOMPANY: 7%N'otApp"cableFEE SIMPLETITLE HOLDER: P|rNot APplicableName. Address:Cit.I,,- City:y.Zip: Phone: zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is herebymade 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, s#tfuLccu!cj::i;Tgn:t!F::w:i:ti,,aoexT:ahppryf!iu:raniFstLfi36h#|isgEarsgstfgaotafopan?i:a:n:tr##aa#o!sz!:#o:rga%g#e:s!t3r:t crhti8n%ua|ir,!#rfc:t:B£:p:r§ytrr,ubi:usruech In consideration of the granting of this requested permit, I do hereby agree thainaccordancewiththeapprovedplans,theFloridaBuildingCodesandSt.Luciet I will, in all respects, perform the workCountyAmendments. 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 T0 OWNER: Your failure to Record a Notice of Commencement may result in paying twice for improvements to your property. A Notice of Commencement must be recorded in the publiLucieCountyandpostedonthej.obsitebeforethefirstinspection.Ifyouintendtoobtainfin c records of St.ancing,consult with lender or an attorney before commencing work or record ng your Notice of Commencement. E4ff, id 7E6zz. f a Signatu Fe of Orwner/ L'es8€le/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLO STATE 0F FLO COUNTY OF cOuNTy oF ~r ip ¥F:ay,ajf::::eife#±±##n w n to (or affirmed) and subscribed before me of #Og:fr:fiaeiz#onlineNotar,zat,Ont'sai Name of person makTng stat-ement.NTaFrfeofpersonmTakingstatement. Personally Known OR produced ldentificatiol I Personally Known OR produced ldentificatioi' Type of Identification Type of lde ntification Produced Produced } (Signature of Not (Signatureo-fNotar'ypub. - ` ` Commission No ±```€:3`-S#&€',~,. HE THE EDWARDSoN 3,,±j.*B6.;ji`3h , EX_P'R`ES: May 21, 2022 REVIEWS ZONING SuPERVISO PLANS VEGETATION `.-'.' FRONT SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATERECEIVED DATECOMPLETED RIev.5/6/2I)