HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONFAh
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1,;?- 5424 j% Permit Number:
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: 30 LAGOS DEL NORTE FT. PIERCE, FL 34951
Legal Description: 134 39 - SPANISH LAKES COUNTRY CLUB VILLAGE
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROTp�j(Gl-�/�-Q
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION' INFORMATION:
Adclitional worK to be ertormed under this permit — c ec
11HVAC Gas Tank ❑Gas Piping
a
apply:
_ Shutters
Windows/Doors
11
Generator
Roof
Electric Plumbing
Sprinklers
Total Sq. Ft of Construction: 1,700
S Ft. of First Floor:
Cost of Construction: $ 7,650
Utilities:cnSewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ANN BOTELLOMYNNE BUILDING CORP.
Name: JOE BAKER
Company: BIG LAKE ROOFING & REPAIRS
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
Address: 30 LAGOS DEL NORTE /12804 SW 122ND AVE.
City. FT. PIERCE/MIAMI State: FL
Zip Code: 34951/33186 Fax:
Phone No. 610-212-8286
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: BIGLAKEROOFING@YAHOO.COM
State or County License: CCC146 39
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
0
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:
of 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 recording Vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLO IDA STATE OF FLORIDA �(( - �/
COUNTY OF_Q�� ��� COUNTY OF "'0 6'k C51/ :e
The o'ng instr ent was acknowledged b fore me The Tfyqg9o�� instru ent was acknowledged before me
this tTgy of 20 acknowledged
this !� 'day of 20_ )by
ho -'!fl
(Name of person acknowledging)
(Signature of Notary Public- State of Florida) 1
Personally Known. OR Produced Identification
Type of Identification Produ�ed!��!u4
Tci,�e2a-Ko_�
(Name of person acknowledging)
(Signature of Nota Public- State of Florida)
Personally Known OR Produced Identification
Type of Identification Prod;!/,,.
Commission No. = �: OISSION # FF125216 I Commission No.
EXPIRES:
I`hy 21, 2018
Revised 07/15/2014
C011SMOM # FF125216
EXPIRES: krfay 21, 2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS