HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: iZ5 IaVI 11 Permit Number: \1 1 O d (GO 1
.Building Permit Applicati
RECEIVE®
Planning and Development Services
Building and Code Regulation Division O C T 2 4 2017
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial � 1Q INDR ent
PERMIT APPLICATION FOR: Roof , vv`
PROPOSED IMPROVEMENT LOCATION:
Address: 6655 SPANISH LAKES BLVD. FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS
Property Tax ID #: 1306-111-0001-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCR1-10Tl0N 'OF WORK
Right Side: Left Side:
Lot No.
Block No.
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT'6
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit — c ec
�IHVAC 13 Gas Tank ❑Gas Piping
a
apply:
Shutters
E]Windows/Doors
Electric El
Plumbing
Sprinklers
Generator
Z Roof
Total Sq. Ft of Construction: 1,550
S Ft. of First Floor:
Cost of Construction: $ 6,975
Utilities:cnSewer
Septic
Building Height:
OWNERAESSEP:
CONTRACTOR:
Name MAUREEN L. HERRLE / WYNNE BLDG. CORP.
Name: JOE BAKER
Address: 6655 SPANISH LAKES BLVD. / 12804 SW 122ND AVE.
Company: BIG LAKE ROOFING & REPAIRS
City: FT. PIERCE / MIAMI State: FIL
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34951 / 33186 Fax:
Phone No. 585-414-0627
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
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
MORTGAGE COMPANY: 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 Counter 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 Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLOA �� I STATE OF FLOR
COUNTY OF COUNTY OF
The fo o' instrume t vy as acknowledged before me The fq instrument was acknowledg d before me
this ifay of I 20 �by this ?�5-iday of D L•V (j-P�(— . 20_1 by
e>
(Name of person acknowledging) (Name of person acknowledging)
of Notary Public- State of Florida
Personally Known. OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
( her Edwardson Commission No.
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