HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE PFO LIST E COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater I (rQ I Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xXXXXXXx
PERMIT APPLICATION FOR: Roof
�,PROPos'ED lIVIPROVfMENT LOCATI'(JN ;� �
Address: 6680 DULCE REAL FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS
PropertyTax ID #: 1306-111-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
„DETAILED DESCrRIV ON OF WORK
REMOVE EXISTING ROOF & REPLACE ANY ROT y� c
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
COiVStRUCTION INFORMATION'�
permit
Additional work to be nertormed under this p — check
11HVAC Gas Tank Gas Piping
all
apply:
_Shutters
E]Windows/Doors
11 Electric Plumbing
❑Sprinklers
O Generator
W1 Roof
Total Sq. Ft of Construction: 1,750
S . Ft. of First Floor:
Cost of Construction: $ 7,875
Utilities:]Sewer
Septic
Building Height:
OWNER/LESSEE
-CONTRACT OR"
Name ROLAND MARCOTT / WYNNE BUILDING CORP
Name: dOE BAKER
Address: 6680 DULCE REAL / 12804 SW 122ND AVE.
Company: BIG LAKE ROOFING & REPAIRS
City: FT. PIERCE / MIAMI State: FIL
Zip Code: 34951 / 33186 Fax:
Phone No.401-527-3594
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: Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
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
commencing work or recording; your Notice of Commencement.
Signature of wrier gent/ Lessee Signature of Contr r/License Holder
STATE OF FLORIDA STATE OF FLO�D�
COUNTY OF b'(/-+Q,-�(' � 1COUNTYoF 'llt�2
The for .ng instru ent as acknowledgP-4 1--fore me
this ay of ' I 20 L .)y
(Name of person acknowledging)
(Signature of Nota Pub ic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
The fo rig instru,Ee�n�j�wa acknowledg d before me
this S ay of C�c� (J 2 fl'I by
I—C) C e, �'g�
(Name of person acknowledge g )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
( eather Edwargsonl Commission No.
COMMISSION # FF125216
mW.AARONNOTARY.COM
Hher Edwardson
COMMISSION #r FF125216
www.AARoNNOTARY.COM
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