HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d J
Date: 17 . 1 Permit Number: I e� /
Building Permit Application AUG 04 201�
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end, of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5414 WINTER GARDEN PKWY FT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 12- BILK 159 LOT 16 (MAP 13/12S) (OR 3644-1756)
Property Tax ID #: 1301-614-0076-000-5
Site Plan Name:
Lot No. 16
Block No. 159
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:,
TEAR OFF EXISTING SHINGLE/FLAT ROOF AND INSTALL NEW SHINGLE/FLAT ROOF
CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit —check
E1HVAC E] Gas Tank ❑Gas Piping
a
apply:,
_ Shutters
❑ Windows/Doors
11 Electric 0 Plumbing
Sprinklers
ElGenerator
W1 Roof 4/12¢ Roof pitch
Total Sq. Ft of Construction: 2600
S . Ft. of First Floor:
0//a
Cost of Construction: $ 8750
Utilities,
Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name TREASURE COAST HOMELES SERVICES COUNCIL INC
Name: CHARLES RICHARDS
Company: ALL AREA ROOFING
Address: 2525 ST LUCIE AVE
Address: 3921 S US HWY 1
City: VERO BEACH State: FL
Zip Code: 34951 Fax:
City: FT PIERCE State: FL
Phone No. 772-563-3202
Zip Code: 34982 Fax: 772-464-6600
E-Mail:
Phone No. 772-464-6800
E-Mail: JENNIFER@ALLAREAROOFING.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CCC1326177
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 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
commenciniz work or recadina vour-Notice of Commencement. 1
Signature of OWn&S LYsgee/Contractor Agent for Owner
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instru Ent was acknowledged before me
this o%° day of ' G* 20 L'7-by
CHARLES RICHARDS
(N�m person acknowledging)
flu
ature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Seal) FAITH MASON
* MY COMMISSION # GO 003939
Bonded Thru Budget NotaryServices
of Contractor/License
STATE OF FLORIDA
COUNTY OF ST LUCIE
er
The forgoing instrument was acknowledged before me
this -Q- day of 20 4:4 by
CHARLES RICHARDS
(Na of person acknowledging )
go, �n
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. ,YP,, (Seal)
FAITH MASON
* MY COMMISSION # GO 003939
Bonded Thru Budget Notary Services
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