HomeMy WebLinkAboutbuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l/`
Date: 4rR - � -) 7 Permit Number: / I U97` 7"
RED"'01-,
Building Permit Application
Planning and Development Services DEC 2 0 2017
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: 14187 CISNE CIR. FT. PIERCE, FL 34951
Legal Description: 06/07 34 39 - SPANISH LAKES FAIRWAYS
Property Tax ID #: 1306-111-0001-000-0
Site Plan Name:
Project Name:
Setbacks Front Back: _
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROTH "
INSTALL ASTM-226 30# UNDERLAYMENT1-
INSTALL 26 GA METAL ROOF SYSTEM
Lot No.
Block No.
CONSTRUCTION INFORMATION:
AdclitionalworKtobenertormedunder this permit — c ec
E1HVAC Gas Tank ❑Gas Piping
a
apply:
_ Shutters
F]Windows/Doors
11 Electric 0 Plumbing
Sprinklers
Generator
a Roof
Total Sq. Ft of Construction: 2,200
S . Ft. of First Floor:
Cost of Construction: $ 9,350
UtilitiestSewer
0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT SCHMIDTIWYNNE BUILDING CORP.
Name: JOE BAKER
Address: 14187 CISNE CIR./12804 SW 122ND AVE.
Company: BIG LAKE ROOFING & REPAIRS
Address: 2699 NW 16TH BLVD.
City: FT PIERCE/MIAMI State: FL
Zip Code: 34951/33186 Fax:
City: OKEECHOBEE State. FL
Phone No. 772-595-0478
Zip Code: 34972 Fax: 863-763-7662
E-Mail:
Phone No. 863-763-7663
Fill in fee simple Title Holder on next page ( if different
E-Mail: BIGLAKEROOFING@YAHOO.COM
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 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, 1 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 vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLO A � c
COUNTY OF �&22JJ COUNTY OF-2�i��k10C���
TheW%ag
instrum t was acknowledg d !fore me The fo g instrum t was acknowledged before me
this of 20L J bythis �My of G 20�) ry
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public= State of Florida )
Personally Known __2� OR Produced Identification
Type of Identification Produced �y
Commission No. �PPJe�;�;jvAso
_ = CO MISSION .# FF125216
==EXPIRES: Niay 21, 2018
OTA .'uivi
Revised 07/15/2014
i
(Signature of Notary Public- State of Florida )
Personally Known �OR Produced Identification
Type of Identification Produced r�
Commission No.�er E L�'Near
COMMISSION # FF125216
EXPIRES: May 21, 2018
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