HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �of • of V ' 17
Permit Number: �' o S30--�1 —
•
Building Permit Application E IVED
Planning and Development Services
Building and Code Regulation Division
DEC 2 g 20W
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Residential xxxxxxxx
PERMIT APPLICATION FOR: Roof
PRO,OPOSED IMPROVEMENT LOCATION:. ,
Address: 1 LA VILLA CT. FT. PIERCE, FL 34951
Legal Description: 1 34 39 - SPANISH LAKES COUNTRY CLUB VILLAGE
PropertyTax 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 /'''►�W( ���
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
I-CO"'N'S'T'RU'C'TIONI"N,F-ORMA'TION:,
'
Additional work to e e orme under! is permit — check
HVAC 11 Gas Tank ❑Gas Piping
a apply:
Shutters Windows/Doors
_
Electric El Plumbing Sprinklers
O Generator Roof
Total Sq. Ft of Construction: 1,600
S Ft. of First Floor:
Cost of Construction: $ 7,200 Utilities: Sewer[ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT PIGOZZIM/YNNE BUILDING CORP.
Name: JOE BAKER
Address: 1 LA VILLA CT. /12804 SW 122ND AVE.
Company: BIG LAKE ROOFING & REPAIRS
City: FT. PIERCE/MIAMI State: FL
Address: 2699 NW 16TH BLVD.
Zip Code: 34951/33186 Fax:
City: OKEECHOBEE State: FL
Phone No. 772-489-5850
Zip Code: 34972 Fax: 863-763-7662
E-Mail:
Phone No. 863-763-7663
E-Mail: BIGLAKER(jOFING@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CCC146939
of construction is $2500 or more, a RECORDED Notice of Commencement is required. V\v U V I
SUPPLEMENTAL CONSTRUCTION UEN 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: Applicable
Name:
Name: 77VNot
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 our Notice of Commencement.
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORIDA
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COUNTY OF (� Kam, -°�
COUNTY OF GG.'e
The f r ng instru ent was acknowledged fore me
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The orRojng instrum t was acknowledge efore me
this � pay of 20 by
this aay of G 20
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificatio Produ .A1.11 n, )r
Type of Identification Produce Uthng Uww.4110
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Commission No. ' a: (§��%JISSION # FF125216
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Commission No. : `: S �r (S@d[,JISSION # FF125216
EXPIRES: May 21, 2018
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Revised 07/15/2014
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