HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) r�
Date: 17 Permit Number: /��ot ' U 5--� 0
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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: 8 GRANDE CAMINO PLACE 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:
DETAILED DESCRIPTION OF WORK:
Right Side:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional workto e e orme under this permit — check
I]HVAC Gas Tank Gas Piping
a
apply:
In _ Shutters
Windows/Doors
11 Electric 0 Plumbing
Sprinklers
E Generator
W1 Roof
Total Sq. Ft of Construction: 1,600
S Ft. of First Floor:
Cost of Construction: $ 6,950
UtilitiestSewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOHN MATTUS/WYNNE BUILDING CORP.
Name: JOE BAKER
Company: BIG LAKE ROOFING & REPAIRS
Address: 8 GRANDE CAMINO PLACE /12804 SW 122ND AVE.
City: FT. PIERCE/MIAMI State: FL
Address: 2699 NW 16TH BLVD.
Zip Code: 34951/33186 Fax:
City: OKEECHOBEE State: FL
Phone No. 610-212-8286
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
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 FLORI A " ,,{ STATE OF FLO A
COUNTY OF �D'-P�P�� 1.�2b�� COUNTY OF
The for of g instru nt was acknowledge before me
this 74a of _ 21_3 Il by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identificatio Produced �g ��g
� Commission No. ..�`��P��•��e''% W�)Edwarasog�
COMMISSION f FF125216
Revised 07/15/2014
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The forgoing instrument was acknowledg d before me
this )±±hay of c'&lam' 20 � by
IWAFJM&1_10
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Com
COMMISSION # FF125216
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