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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: %I o'� n Permit Number: Na —d V
(;�Q_._C- J�._ , , _ .a RECEIVED
HE Building Permit Application
Planning and Development Services O C T 2 4 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Departmept
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial t.RLed Arta t -
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 14400 AZUCENA CT. FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS
Property Tax ID #: 1306-111-0001-000-0
Site Plan Name:
Prniert Name,
Setbacks Front Back: Right Side: Left Side:
1,DETAILED,DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT/
INSTALL 26 GA METAL ROOF SYSTEM
Lot No.
Block No.
Y\ol�i k
n,
CONSTRUCTION INFORMATION:
Additional wor to e e orme under this permit — c ec
E3
a
apply:
OHVAC
Gas Tank
Gas Piping
_
Shutters
Windows/Doors
nElectric 0 Plumbing
Sprinklers
E]
Generator
Roof
Total Sq. Ft of Construction: 1,700
S Ft. of First Floor:
7,225
D
Cost of Construction: $
Utilities:Sewer
Septic
Building Height:
OWNERAESSEE:
CONTRACTOR: "
Name PEGGY THOMMES / WYNNE BLDG. CORP.
Address:14400 AZUCENA CT. / 12804 SW 122ND AVE.
City: FT. PIERCE / MIAMI State: FIL
Zip Code: 34951 / 33186 Fax:
Phone No. 772-359-7595
Name: JOE BAKER
Company: BIG LAKE ROOFING & REPAIRS
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
E-Mail: BIGLAKEROOFING@YAHOO.COM
State or County License: CCC146939
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 575o0 or more, a KECOKutu Notice or Lommencemeni is requireu.
L,-,SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: A- Not
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Y�, Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
MORTGAGE COMPANY: r Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 -
commencinF work or recording vour Notice of Commencement.
/ W.
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORID i r I STATE OF FLOnffL___hE)
COUNTY OF � �c�llt.i�In.y-r COUNTY OF bee -
The f T�i instrume t w s acknowledgid fore me
this ay of 20 ` y
�n_p -- z-f'�
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known � OR Produced Identification
Type of Identification Produced
Commission No. `. ,�L'" IS.��,.�' H@ r Edwardson
COMMISSION # FF125216
_� o�� (PTFft5�91ay 21, 2018
Revised 07/15/2014, ;; $��`` valmAARONNOTARY.COM
The o i instrumen g w s acknowled efore me
this day of 20_� by
o� �
(Name of person acknowledging)
(Signature of Notary Public- State o Florida )
Personally Known OR Produced Identification
Type of Identification Produced
'v'P��%, H Edwardson
Commission No. . a'
IMMIS ION # FF125216
EXPII;ES: May 21, 2016
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