HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: k G�"1 w) Permit Number:
• RECEIVEDBuilding Permit Applicati n
Planning and Development Services
Building and Code Regulation Division OCT 2 4 2017
2300 Virginia Avenue, Fort Pierce FL 34982 P r
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial fe l L4,+�lR"Wanent
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 41 LA PUERTE DEL NORTE FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE
PropertyTax ID #: 1301-111-0001-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: _
DETAILED DESCRIPTION OF WORK:
Right Side:
REMOVE EXISTING ROOF & REPLACE ANY ROT 3/
INSTALL ASTM-226 30# UNDERLAYMENT I a
INSTALL 26 GA METAL ROOF SYSTEM
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be nerforme under this permit— check
11HVAC Gas Tank ❑Gas Piping
all
apply:
Shutters
Windows/Doors
_
11 0
E] Generator
Roof
Electric Plumbing
Sprinklers
Total Sq. Ft of Construction: 1,250
S Ft. of First Floor:
Cost of Construction: $ 5,950
Utilities:CnSewer
ElSeptic
Building Height:
OW N E RAESSEE:
CONTRACTOR:
Name JOANNE TRAINOR / WYNNE BLDG. CORP.
Name: JOE BAKER
Address:41 LA PUERTE DEL NORTE 112804 SW 122ND AVE.
Company: BIG LAKE ROOFING & REPAIRS
Address: 2699 NW 16TH BLVD.
City: FT. PIERCE / MIAMI State: FL
City: OKEECHOBEE State: FL
Zip Code: 34951 / 33186 Fax:
Phone No. 7724614892
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
E-Mail: BIGLAKEROOFING@YAHOO.COM
from the Owner listed above)
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:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: `Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not 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
commencing work or recording our Notice of Commencement.
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Ho der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_-(G )be COUNTY OF.[�Y
The fgroif� mstrumen w s acknowled er1 efore me The for oing instr m� tt was acknowledged before me
tI`y of ��, 20 Q by thi;Is of �(�TUl�il . 20-1_7ny
�dz � t6 0� �` ' V f-
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- Sta a of Florida) (Signature of Notary Public- State of Florida )
Personally Known [= OR Produced Identification
Type of Identification Produced
�,,,, �i",, Commission ,,
Edwardson�,,
No. .�'P�!a•?
(hey
COMMISSION # FF125216
161111"'p"'
WSW AAROPlN07ARY.COP!!
Revised 07/15/2014
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. :', • t'_,_ __
# FF126216
121, 2018
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