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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: k) BI Permit Number: �� 14J dGd
Local
s Y�-;_ - RECEIVE®
Building Permit Application
Planning and Development Services OCT 2 4 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Rqsic�fltitbMffl ty, FL
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 550 LA BUONA VITA DR. PORT ST. LUCIE, FL 34952
Legal Description: LA BUONA VITA COOPERATIVE UNIT/LOT 147 (OR 3535-1784)
Property Tax ID #: 3426-664-0143-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED`DESCRIPTION OF WORK:
Right Side: Left Side:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT 2
INSTALL 26 GA METAL ROOF SYSTEM
Lot No.147
Block No.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit— check
[1HVAC Gas Tank ❑Gas Piping
all
fn apply:
Shutters
Windows/Doors
11 Electric 0 Plumbing
Sprinklers
_
E Generator
W1 Roof
Total Sq. Ft of Construction: 1,250
S Ft. of First Floor:
Cost of Construction: $ 5,950
Utilities:]Sewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name EUGENE SECOR
Name: JOE BAKER
Address: 550 LA BUONA VITA DR.
Company: BIG LAKE ROOFING & REPAIRS
City: PORT ST. LUCIE State: FL
Address: 2699 NW 16TH BLVD.
Zip Code: 34952 Fax:
City: OKEECHOBEE State: FL
Phone No. 248-766-3280
Zip Code: 34972 Fax: 863-763-7662
E-Mail:
Phone No. 863-763-7663
E-Mail: BIGLAKEROOFING@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
State or County License: CCC146939
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
.SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER: NNot Applicable
MORTGAGE COMPANY: ` Not Applicable
Name:
Name:
Address:
Address:'
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 4tNot Applicable
BONDING COMPANY: _ of Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
1 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 vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLQ IDA
COUNTY OF 6V-6?rr�fl b:?e COUNTY OFd _i: A ;
The for i g instrument wa acknowledged hefore me The forgping instrumenj was acknowledged before me
thia y of 20 )1 by thiay of Oc_ kLp 200 )y
I—otel- 6 a4f -eA 1c)e e68 L
(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
iaef Edwardson
COMMISSION # FF125216
wwAAROidNOTARY.COM
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
COMMISSION # FF1
wwAARMOTARY
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