HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 22' Q� I Permit Number:
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Building Permit Application JAN 2 9 2018
Planning and Development Services
Building and Code Regulation Division ST. L,uclo County, Permltting
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: 11
Address: � 290 t1 Ha n; l-to,. AV-_ 4:- r1,� i�i'�s.� IPL
Legal Description: LAKEWOOD PARK -UNIT 5-BLK47 LOT 7 (MAP 13111N)(OR 3871-843)
Property Tax ID #: 1301-605-0185-000-4
Site Plan Name:
Project Name:
Setbacks Front Back: _
DETAILED DESCRIPTION OF WORK:
Right Side:
Left Side:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM I
d- MOVIFd-0 Fd 0- F «IT 20014
CONSTRUCTION INFORMATION:
[1HVAC Li Gas Tank
nElectric 0 Plumbing
Total Sq. Ft of Constructio .
Cost of Construction: $ 13,450
permit — cneck all apply:
Gas Piping _ Shutters
Sprinklers Generator
S Ft. of First Floor: _
Utilities:'nSewer Septic
Lot No. 7
Block No. 47
QWindows/Doors
Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CHARLES SHEETS
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: 7904 HAMILTON AVE.
City.. FT. PIERCE State: FL
Zip Code: 34951 Fax,
Phone No. 772-332-4048
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
i
E-Mail: BIGLAKEROOFING Q YAHOO.COM
State or County License: CCC146939
II If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I
1
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xxx Not Applicable
Name: I
MORTGAGE COMPANY: xxx Not Applicable
Name:
Address:
Address: I
City: State: I
Zip: Phone: I
I
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: xxx Not Applicable I
Name:
BONDING COMPANY: xxx Not Applicable
Name:
Address: I
Address:
City:
City: I
Zip: Phone: I
I
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counter 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 Associationland 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 C des 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, sc een 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 your Notice of Commencement.
Signature of Owner/
STATE OF FLORIDA ,
COUNTY OF .
The forgoing instrument was acknowledged before me
this Z? �, day of _J c, n L4., r 20 f B' by
(Name of person acknowledging)
(Signature of Notary P lic- State of Florida)
I
Personally Known OR Produced Identification l
Type of Identification Produced
Commission No.
Revised 07/15/2014
Signature of
er
STATE OF FLORIDA
COUNTY OF OR-e �e r_4Q/) -�
The for
instrument was acknowledged before me
thisa � day of 7o, t., o—r 20,1 8- by
(Name of person acknowledging)
(Signaature of Notary Pub ic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
HeNr Edwardson I Commission No.
COMMISSION # FF925216
IMW.AARONNOTARY.COM
i
c Mather Edwardso
EXPIRES: May 21, 201
www.AARONNOTARY.CO
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