HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -� 7 2 _ I Permit Number: � �� ()
Building Perm t, p�plication
Planning and Development Services �
Building and Code Regulation Division St Ludv`e Coulk MAR - 7 2010
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: 501 Anne Marie Ln, Port St. Lucie, FL 34952
Legal Description. La Buona Vita Cooperative UnIt/Lot 194 (OR 3253-1
I
Property Tax ID #: 3426-664-0188-000-8 I
Site Plan Name: I
Project Name: I
I
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK: l
Left Side:
Lot No. 19
Block No.
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYME T
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit— c ec a apply.,
�HVAC 1=3 Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: I �e :� -D S . Ftofof First Floor:
Cost of Construction: $ �J Utilities: L_I Sewer Septic Building Height:
I
OWNER/LESSEE:
CONTRACTOR:
Name James & Jeanine Sarno
Name: JOE BAKER
Address: 501 Ann Marie Ln.
Company: BIG LAKE ROOFING & REPAIRS
City: Port St. Lucie State: FL1I
Address: 2699 NW 16TH BLVD.
Zip Code: 34952 Fax: II
City: OKEECHOBEE State: FL
Phone No. 502-419-5424 I
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
E-Mail: �.
E-Mail: BIGLAKEROOFING@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different i
from the Owner listed above) II
State or County License: CCC046939
If value of construction is $2500 or more, a RECORDED Notice�of Commencement is required.
SOPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
5
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
I Address:
City:
I State: City: State:
Zip: Phone:
Zip: Phone:
I
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: 4Not Applicable
Name:
Name:
Address:
Address:
I
I
City:
City:
Zip: Phone:
Zip: Phone:
I
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.
Signature of Owner/ Agent/ Lessee
STATE OF FLO
COUNTY OF I
The fr%ing instrument was a knowledg
this ay of 20
me of person acknowledging
(Signature of Notary Pub jc- State of Florida )
Personally Known _
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Id
Signature of Contractor/License Holder
STATE OF FL 1 A
COUNTY OF Cl.Q ��p
me The f r ring instrument was acknowledged efore me
this 7� "day of ��Z�_ 20 by
__VC tole
(Nam of person acknowledging)
(Signature of Notary Public- State of Florida )
ion Personally Known OR Produced Identification
Type of Identificatio Produced
Edwardson Commission No. ., P Rt er Edwardson
ON # FF125216 = `' COMMISSION # FF125216
May ' 2018
Q� EXPIRES: May 21, 2018
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