HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED) Permit Number: �l 90_3 — 0 C-;L) 7
Building ,Permit Application MAR - 7 Z018
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
PROPOSED IMPROVEMENT LOCATION: '
a�a,o«• 550 Natalie Dr. Port St. Lucie. FL 34952
Legal Description: La Buona Vita Cooperative Unit/Lot 31 (OR 1856-1533)
Property Tax ID #: 3426-664-0031-000-3 I Lot No. 31
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT Fl uAA F,7
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM 3�
CONSTRUCTION INFORMATION:
Additional workto e _neorme under this permit —check a _apply:
F,HVAC L1Gas Tank ❑Gas Piping 1:1 Shutte
rs aWindows/Doors
Electric Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construc71;�-36
, L/ S . Ft. of First Floor:
Cost of Construction: $ Utilities:Cn Sewer F]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Frederick H. & Laura Mastermaker
Name: JOE BAKER
Company: BIG LAKE ROOFING & REPAIRS
Address: 550 Natalie Dr. Lot #31
City: Port St. Lucie State: FL
Address: 2699 NW 16TH BLVD.
Zip Code: 34952 Fax:
City: OKEECHOBEE State: FL
Phone No. 772-336-2132
Zip Code: 34972 Fax: 863-763-7662
E-Mail:
Phone No. 863-763-7663
E-Mail: BIGLAKEROOFING@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
State or County License: CCCO46939
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL.CONSTRUCTION LIEN LAW'INFORMATION.
GINEER: \X Not ADDlica
Name:
Address:
City: Sta
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _yNot Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 vour Notice of Commencement. l
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
I
STATE OF
COUNTY OF ORIDA STATE OF �/,D�� COUNTYOF O�IJ�
The fpp�g(�g instrument was ac nowledged8efore me II The f rgging instrument was �knowledged Wore me
this 10 i relay of 20 6bby I this �-f'Yday of 20J 43by
s-e
(Name of person ackn edging) w
(Signature of No ary Public- State of Florida)
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
COMMISSION # FF1
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known R Produced Identification
Type of Identificatio Produced
WWW.AAROATARY.COM
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No. ��Y,PB�iiG (her E d w a r son
`'� COMMISSION # FF125216
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