HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .i!`V 2017
Permit Number: ` ri I ) ^ OU4 1
Building Permit Application'
Planning and Development Services
Building and Code Regulation Division %0v - Z 2017
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xPERM►TfING
_-=- I nrmty. FL
I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I
(Address: 7302 JAMES RD Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 1- BLK 7 LOT 15 (MAP 13/14N) (OR 604-909)
IIProperty Tax ID #: 1301-601-0114-000-4 Lot No.
Plan Name:
Name:
Front Back: Right Side: Left Side:
Block No.
ear off existing shingle roof and install 5 v crimp metal roof FI 17022-R6 and Peel and stick
L16048-R3
ionionai worK to oe errormea under tnis permit - ci
[1HVAC Gas Tank ❑Gas Piping
gElectric El Plumbing Sprinklers
apply:
Shutters Q Windows/Doors
Generator Roof
Total Sq. Ft of Construction: )010e) S . Ft. of First Floor:
Cost of Construction: $ 8580.00 Utilities:0Sewer 0Septic Building Height: 26
I
�`. t i �x�,3'�kK'ky t.,i s +
OWNER/LESSEE,} 3
C®Nl'RrA�CT®R6�
Name Roger D Owens
Name: Richard A. Newland
Address: 7302 JAMES RD
Company: Richie the Roofer
Address: 905 13th st sw
City. Fort Pierce State: FL
ZiplCode: 34951 Fax:
City: Vero Beach State. FL
Phone No.772-672-0581
Zip Code: 32962 Fax: 866-610-8652
Phone No. 772-464-4329
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail: richieroofer@yahoo.com
fro i the Owner listed above)
State or County License: CGC 1512738
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�SUFP�PME�,N�TtAL. CON TRjU'CTI®N LIEN LAW,1'N�F®+IVI�I�TION:
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. RichardANewland
Address:
Name:
905 13th st sw
Address:
City: Vero Beach
City:
Zip: Phone:
Zip: 32962 Phone: 772-47M197
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.
Ih consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in i 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,
aIccessory 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
c'omrnencing work or recording your Notice of Commencement.
of Owner/ Lessee/Agent
s
Signature of Contractor/License Holder
ATE OF FLORIDA STATE OF FLORIDA
)UNTY OF ,,,� ;,,, �hre.� 1COUNTYOF T Jl'Q_
ie forgoing instrument was acknowledged before me
is 'dday of ,(j�6,re,w�ln� . 20 -zby
1
of person acknowledging)
The forgoing instrument was acknowledged before me
this _""day of t(�o�n',r.l�ie r , 20 (? by
(Name of person acknowledging)
^Q ,p
(Signature of Notary Public- State
Florida )
Signature of Notary Public- State o
lorida)
/
Personally Known Produced Identification
ersonally Known OR Produced
Identification
OR
t/
ype of Identification Produced
L.
Type of Identification Produced
Immission No.46 1!Qa%Q
No.�4 1S26Yp
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CHRISTINAMARIERODRIGUES
= MY COMMISSION # GG
N,. EXPIRES: October 16,
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RRevised07/15/2014
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EXPIRES: October 10, 2021
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DATE
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INII IALS