HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: �2. 11 • 1 7, Permit Number: a�
Building Permit Application
Planning and Development Services DEC 119 2lJ�y1q
7
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: 4 TOSCA FT. PIERCE, FL 34951
Legal Description: 134 39 - SPANISH LAKES COUNTRY CLUB VILLAGE
Property Tax ID #: 1301-111-0001-000-5
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERL.AYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CON 5TRUCTI0N,iNFbRMATiON: ".
Additional work to be nerformed under this permit — cleck all
0HVAC Gas Tank ❑Gas Piping
apply:
Shutters
Q Windows/Doors
_
11 Electric 0 Plumbing Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 1,650 S . Ft. of First Floor:
Cost of Construction: $ 7,425 Utilities: nSewer Septic
Building Height:
",OWNER/LESSEE:
'CONTRACTOR:
Name GLENDA SPEIR/WYNNE BUILDING CORP.
Name: JOE BAKER
Address: 4 TOSCA/12804 SW 122ND AVE.
Company: BIG LAKE ROOFING & REPAIRS
City.. FT. PIERCE/MIAMI State: FL
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34951133186 Fax:
Phone No. 772460-9974
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:CONSTRUCl'ION 'LIYEN� 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
commencing work or recordine vour Notice of Commencement.
:12010-
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA f STATE OF FLORIDA
COUNTY OF �� �i�'1.� COUNTY OF 4JA�
The forgoing instrument was acknowledged before me
this M@ay of ((i-P.� • 20 ' 11 by
To -re S0_A__&r
(Name of person acknowledging)
(Signature of Notary ublic- State of Florida )
Personally Known OR Produced identification
Type of Identification Produced
Commission No.
FISSION # FF925296
1 ...mac EXPIRES: May 21, 2018
Revised 07/15/2014
The f r gipg instru ent was acknowledg d efore me
this �y of 20 1 J 3y
(Name of person acknowledging)
(Signature of Notary ublic- State of Florida)
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. He I)Edwargson
�`��P�' �;
COMMISSION # FF125216
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