HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) p
Date: ��• �'l�' �� Permit Number:
CEE0�!E0
Building Permit Application DEC 19 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: 581 LA BUONA VITA DR. PORT ST. LUCIE, FL 34952
Legal Description: LA BUONA VITA COOPERATIVE UNIT/LOT 142 (OR 1398-1724)
Property Tax ID #: 3426-664-0138-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT��`��
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM _
Lot No.
Block No.
`CONSTRUCTION INFORMATION:
Additional workto e e orme under this permit— c ec a apply:
�IHVAC Gas Tank ❑Gas Piping In _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers E Generator W Roof
Total Sq. Ft of Construction: 1,650
Cost of Construction: $ 6,950
S Ft. of First Floor:
UtilitiestSewer 05eptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT GREENWOOD/LA BUONA VITA CO-OP INC
Name: JOE BAKER
Address: 581 LA BUONA VITA DR./8601 S US HWY 1
Company: BIG LAKE ROOFING & REPAIRS
City: PORT ST. LUCIE State: FL
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34952 Fax:
Phone No. 772-979-3372
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
State or County License: CCC146939
from the Owner listed above)
If value of construction is S2500 or more, a RECORDED Notice of Commencement is required.
i
(..SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: _
Address:
City:
Zip:
INEER: Not Applicable I MORTGAGE COMPANY: Not Applicable
Name:
Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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
commencing work or recording your Notice of Commencement.
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLO� J_ / STATE OF FLOTT"
COUNTY OF G •-� COUNTY OF a P
The 7fr JJ'ng instru ent was acknowledg d hPfore me The forF�ing instru ant was acknowledged efore me
this of t i 20�� ,y this T' flay of ��� 20�'�by
do-e 1 ��, a fin -e
(Name of person acknowledging) _ (Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 071
COMMISSION # M25216
wn.AARONNOTARY.COM
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Pro uced
Commission No.
HeathaWardson
Z *' = COMMISSION # FF125216
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www.AARONNOTARY.COM
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