HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFCZC/ O MUST BE COMPLETED FOR APPLI
Date: , ' 2.�' D I
SCANNED
TO BE ACCFPTED H
Permit Number: ' C(L11 D
• - l5y M
... St Lucie County
Building Permit Application
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 I
PROPOSED IMPROVEMENT LOCATION:
Address: 1 JULIA FT. PIERCE, FL 34971 j
Legal Description: 134 39
Property Tax ID #: 130.1-11.1-0001-000-5 j
Site Plan Name:
I
Project Name: i
Setbacks Front Back: i Right Side: Left Side:
I, DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM /
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Itlona wor to e e orme under this permit —check all tha apply:
I
11_HVAC 13 Gas Tank [:]Gas Piping _ Shutters F—] Windows/Doors
11 Electric F-1 Plumbing Sprinklers []Generator ® Roof
Total Sq. Ft of Construction: 1,600 '
Cost of Construction: $ 6,800 l
Sq. Ft. of First Floor:
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:,
CONTRACTOR:
Name GERALDINE HART / WYNNE BLDG CORP
Name: JOE BAKER
Address:1 JULiA / 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. 772-332-4048
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
it value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER: xxx Not Applicable
Name:
MORTGAGE COMPANY: xxx Not Applicable
Name:
Address:
City: State:!
Zip: Phone: I
I
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: xxx Not Applicable
Name:
BONDING COMPANY: xxx Not Applicable
Name:
Address: I
City: I
Address:
City:
Zip: Phone:
i
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 Assoc liation 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 ob#ain financing, consult with lender or an attorney before
commencing work jar recordine vour Notice of Commencement.
I
Signature o Owner/ Agent/ Lessee 1 Signature o Contra for icense Holder
STATE OF FLORIDA I STATE OF FLO Ite4
COUNTY OF ycc-r �c'��e COUNTY OF
The for of gg�inst nt was acknowledged before
this""' of 20 C b by
'J o'-\1
(Name of person acknom
(Signatur4 of NoPu
Personally Known
Type of Identification P
Commission No.
Revised 07/15/2014
State
OR Produced Identification
uced
or Edwardson
�• ••.• •.tea
" s COM ISSiON # FF125216
�:*; EXPIRES: flay 21, 2018
The r i cost nt was acknowledge fore me
thi da o 20 y
J 6 8
�-
(Name of person acknowledging)
(Signatuure of Not r7-Pablic-State of Florida )
Personally Known OR Produced Identification
Type of Identificati Ptiskduced ,,,,.,,, It - ,,
Commission No.
90MMISSION # FF12521
EXPIRES: Vey 21, 201
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
/
COMPLETE
INITIALS