HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j
Date: _ • ) 7 Permit Number:
Building Permit Application R ' W
Planning and Developmentservices DEC i 2�17
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
PROPO$W)MPROVEMrENT LOCATION:,_s'
Address: 13946 CEDRO CT. 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:
Lot No.
Block No.
DETAILED DES;CR(PTION.OF WORK
REMOVE EXISTING, ROOF & REPLACE ANY ROT 0,19I L-5- HD P&C
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM 3
1�
CO;NSTR:UCTION INFORIVIAT,ION�
Additionalwork to e e orme under this permit —check a apply:
0HVAC ED Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
13 Electric 0 Plumbing Sprinklers 1:1 Generator Z Roof
Total Sq. Ft of Construction: 1,400 S . Ft. of First Floor:
Cost of Construction: $ 6,300 Utilities:Sewer Septic Building Height:
01NNERJLESSEE ; `
;CO NTRACTOR:
Name JAMES E. HUSTON SR.lWYNNE BUILDING CORP.
Name: JOE BAKER
Address:13946 CEDRO CT./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. 614-519-8722
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.
.,,SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: : .
DESIGNER/ENGINEER:
)L Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
YNot Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
1 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 FLORIDA � I STATE OF FLO��R�1���! �
COUNTY OF OG�Lg�p-G COUNTY OF /fP
The fo oing instru ent was acknowledge before me
this ay of�� 201`7 y
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(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known. OR Produced Identification
Type of Identification Produced
•!pbB�i� HaathartflWan son
Commission No. :a� ••�1,,�
www.AARONNOTARY.COM
Revised 07/ 15/2014
The forgoing instru ent was acknowledged before me
this '�gy of— 20_1 —1
It —)-le �a*_eIr
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced
Identification
Type of Identification Pro`uced
Commission No. ;`o?�PJsI�;
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10MhilISS11►I# FF125216
EXPIRES: may 21, 2018
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