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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p Date: '37- 17 Permit Number: o 03— C;e Q� Buildings F�gtg .tb,►,pplication Planning and Development Services MAR Building and Code Regulation Division 2018 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: rye____ rw i Address: — 1 itil Ga - I V VI LC, 1 L. r IGI %,V, 1 L J-rAJ l Legal Description: Spanish Lakes Country Club Village Property Tax 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��I INSTALL ASTM-226 30# UNDERLAYMENT INSTALL 26 GA METAL ROOF SYSTEM ,l CONSTRUCTION INFORMATION: itiona wor to e e orme under this permit— check all apply: ❑HVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors ❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator Roof Total Sq. Ft of Construction: 19 V S . Ft. of First Floor: Cost of Construction: $ Utilities. Sewer [:]Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name David Englehart/Wynne Building Corp. Address: 82 Flores del Norte Way/12804 SW 122nd Ave. City. Ft Pierce/Miami State: FL Zip Code: 34951/33186 Fax: Phone No. 518-893-0937 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 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: BIGLAKEROOFING@YAHOO.COM State or County License: CCCO46939 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. r SUPPLEMENTAL:CONSTRUCTION LIEN LAW INFORMATION: INEER: `]L_ Not App Name: Address: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: 7\ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: X Not Applicable Name: Address: Citv: 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 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. 1 Signature of Owner/ Agent/ Lessee l/dL Signature of Contractor/License Holder STATE OF FLO pA n STATE OF FLO A COUNTY OF_ � d COUNTY OF 6r -� The forgoing instrument was acl owledged efore me this day of 20 by M,ne A42���- (NaYne of person a knowledging ) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification roduc''S;�i.,. �Ienfhnr (•boo Commission No. Revised 07/15/2014 ISSION # FF1202,16 PIPES: MAY 21, 2,918 The f raping instrument was acknowledged efore me this ay of nAOv�.r � 20; �. 7- 15Z (Name of person acknowledging) (Signature of Notary Public- State ofTForida) Personally Known OR Produced Identification Type of Identification Produced Commission No. COMMISSION # FF12521 tyWW.AARONNOTARy.COM REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 6 INITIALS �J