HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: jot • 7 Permit Number: ? i�' SYs�
Building Permit Application DEC 2 0 2017
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 xxxxxxxx
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION: ;
Address: 420.NATALIE DR. PORT ST. LUCIE, FL 34952
Legal Description: LA BUONA VITA COOPERATIVE UNIT/LOT 5 (OR 4043-722)
Property Tax ID #: 3426-664-0005-000-2
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK',
REMOVE EXISTING ROOF & REPLACE ANY ROT n 07v--e
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
Lot No.
Block No.
CONSTRUCTION INFOR(VIATION I
�f�nn� uenr Yn n"nn nrmn ointinrthic ermit—c'ec a a
[1HVAC 0 Gas Tank
11 Electric F-1 Plumbing
Total Sq. Ft of Construction: 1,400
Cost of Construction: $ 6,300
p pp Y•
Gas Piping _ Shutters Windows/Doors
Sprinklers Generator Z Roof
Sq. Ft. of First Floor:
Utilities: Sewer Septic ' Building Height:
.OWNER/LESSEE:
CONTRACTOR::'
Name NORENE MICHALIK
Name: JOE BAKER
Address:420 NATALIE DR.
Company: BIG LAKE ROOFING & REPAIRS
City: PORT ST. LUCIE State:FIL
Address: 2699 NW 16TH BLVD.
Zip Code: 34952 Fax:
City: OKEECHOBEE State: FL
Phone No. 772-905-9047
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.
i
SUPPLtMENTAL.CONSTRUCTION LIEN'LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: S4Not Applicable
Name:
Address:
City:
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 1 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 recordine vour Notice of Commencement. /
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF .yo COUNTY OFYPP.- r
The f r oing instrument was acknowledged before me
this �iay of Pi . 20 k3by
�1 Boe-etl—
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known _4�c OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
The f o(.ng instru 1t was acknowledged before me
this r$lay ofC • 2001
-�, AM,
(Name of person acknowledging)
(Signature of Notary ublic- State of Florida)
Personally Known R Produced Identification
Type of Identification roduced
Fl vu Edwardson I
Commission No.
COMMISSION # FF125216
www.AAR0IiN0TARY.00M
eRNIP Edwardson
EXPIRES: May 21, 2018
wWw.AARONNOTARY.COM
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