HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FORIAPPLICATION TO BE ACCEPTED
Date: 01,0. Icy Permit Number: O 9
SCANNED
BY RECEIVED
_ St Lucie County
Building Permit Application FJAN a 20
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
PERMIT APPLICATION FOR: Roof
,PROPOSED IMPROVEMENT LOCATION:
Address: 6755 SINSONTE CT.
Legal Description: 06/07 34 39 - SPANISH LAKES FAIRWAYS
2
�s
ST, i uc1a CpynCy, Parmltting
Residential xxxxxxxx
PropertyTax ID #: 1306-111-0001-000-0
Site Plan Name:
i
Project Name: 1
f
Setbacks Front Back: i Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT 0bti
INSTALL ASTM-226 30# UNDER LAYMENT �jY\"
INSTALL 26 GA METAL ROOF SYSTEM I �- u
Lot No.
Block No.
CONSTRUCTION INFORMATION:
AcIditional work to e e orme under this permit— check a apply:
IIHVAC E]GasTank t Gas Piping In nenerator
Shutters QWindows/Doors
11 Electric 0 Plumbing Sprinklers FORoof
Total Sq. Ft of Construction: S . Ft. of First Floor:
9,150.00 +
Cost of construction: $ Utilities. _ Sewer l:] Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Jean Dombkowski / Wynn Building Corp.
Name: JOE BAKER
Address: 6755 Sinsonte Ct. / 12804 SW 122nd Ave
Company: BIG LAKE ROOFING & REPAIRS
Address: 2699 NW 16TH BLVD.
City. Fort Pierce / Miami State: FL
Zip Code: 34951 / 33186 Fax:
City: OKEECHOBEE State: FL
Phone No.'772-332-8055
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 LIENLAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: d�
State: City: State:
Zip: Phone:
1 Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: if,, Not Applicable
Name:
Name:
Address:
!
Address:
City:
City:
I
Zip: Phone:
Zip: Phone:
I
I
I certify that no work or installation has commenc Id 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 t'o obtain financing, consult with lender or an attorney before
commencing weA or recording vour Notice of Commencement. _
Signature of Owner%Agent/ Lessee
STATE OF FLORIDA
COUNTY OF 0 �WAd& a
The forP�ing instrument was acknowledged efore me
this for
of �iy r� • , 20 � by
(Name of person acknowledging) !
(Signature of Notary Public- State
Personally Known OR Produced Identification
Type of Identificatio Produced
of Contractor/License Holder
STATE OF FLOR
COUNTY OF
The f^ fo'gping instru nt was acknowledged before me
thi ay of 20JY y
(Name of person acknowledging)
(Signature of Not Pu lic- State of Florida )
own Personally KnOR Produced Identification
Type of Identification Produced
Commission No. Heathp5dwardson I Commission No.
--��-
15 A �..5 COMMISSION # FF125210
Revised 07115/201�IM11 �++'`�� ylti^ W A/w,9NN9TAFTv:60M
Heatlirbardson
COMMISSION # FF12521 B
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