HomeMy WebLinkAboutBuilding Permit Applicationi
08/14/2017 09:57 FAX
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: Permit Number:
RECEI -D AW 14 7017
Building Permit Application
Planning and Development Services
Building and Code Regulatlon Division
2300 Virginia Avenue, Fort Pierce A 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 9670 Landings Dr.
Legal Description: Fairway Landing Parcel 10 Lot 12 OR 2916-1178; 3314-302
Property Tax ID #: 3322-SOM034-000-0
Site Plan Name:
Pro]ect Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
Lot No.12
Block No.
Remove existing the roof and re-nsll plywood. Apply TU Max self adhering modified underlaymerit,
install new tile roof,
CONSTRUCTION INFORMATION:
Ac1clitlonal worK TO ri[�FfLirmed un er s perms — Check all apply:
OHVAC Gas Tank ❑'1 Gas Piping Shutters t__1 Windows/Doors
Electric Plumbing ❑Sprinklers Generator Roof /12 Roof pitch
Total Sq. Ft of Construction: 7600
Cost of ConstrUCtlon: $ 43,000
S . Ft. of First Floor: _
Utillties:Sewer E Septic
OWNER/LESSEE-
Name SrucO Dan
Address:9610 Landings Dr.
City: Port St. Lucie State:FL
Zip Code: 34986 Fax:
Phone No.685-729-4449
E-Mall:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: David Packard
Company: Packard Roofing & Waterproofing, Inc.
Address: 2182 NW Reserve park Trace
City: Part St. Lucie State: FL
Zip Code: 34986 Fax: 772-468-9978
Phone No. 772.468-3723
E-Mail: ssmithapackardroofing.com
State or County License: cGCA17517
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
08/14/2017 09:57 FAX
[a 002
improvements to your property. A Notice of Commencement must be recorded and posted on the jonsite
before the first inspection. If you Intend to obtain financing, consult with lender or an attorney before
commencing work or recording our !Notice of Commencement.
DO P-Q
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Signature. of Contractor E ri§e Holder
Signature of�6wner/Lessee/Contractor as Agent for owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF_02 I yae- _
COUNTY Of t a4I e -_
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this.1O-day of /qua, Jai- , 20 aby
nalad
this Ztay of I &; 20 by
(Name of person acknowledging)
(Name of person acknowledging)
(Sfg—nature of Notary P� - State of Florida)
gnature of Notary Public- State of Florida)
Personally Known ✓ --- OR Produced Identification
Personally Known OR Produced Identification _
Type of identification P o c
Type of Ident
r�;, TE HANtE P. SMITH
Commission No. NotITYPIlic - State of Florida
quw�N,, STEPHANIE P, SMITH
ommission '�` Y �4 Public • Sf6ea*121orida
.. r
• •= My Comm. Explrai Sep 2, 2Qti
s• . . •= My Comm. Expires Sep 2, 2017
=u, 4
%; oo Q°•'�
�' 'i ins `' eanded 7bra�Gti MU Mel WNY Assn,
Revised 07/15/20 ttondad 1r�roo411 WHOM Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVI W REVIEW REVIEW REVIEW
DATE
t�
COMPLETE
INITIALS