HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE �INNFO MUST BE COMPLETED IFFO� �LICATION TO BE ACCEPTED
Date: � O / � - ���[q Permit Number:
County
Buildt,ng 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
PERMIT APPLICATION FOR: Roof
1 ,PROPOSED IMPROVEMENT LOCATION:;
Address: 34 La Villa Way, Ft. Pierce, FL 34951
Legal Description: Spanish Lakes Country Club
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
-13439
Side:
Left Side:
MAR - B 2018
Residential xxxxxxxx
Lot No.
Block No.
REMOVE EXISTING ROOF & REPLACE ANY ROT IV oP
INSTALL ASTM-226 30# UNDERLAYMENT 3
INSTALL 26 GA METAL ROOF SYSTEM 1 n
CONSTRUCTION INFORMATION: 1 ,
Additional work to be nertormed under this permit — cleck all apply:
11HVAC L_J Gas Tank ❑Gas Piping Shutters a Windows/Doors
I
Electric 0 Plumbing Sprinklers El Generator g Roof
Total Sq. Ft of Construction: I' S . Ft. of First Floor: _
Cost of Construction: $ Z Utilities: Sewer Septic
T `
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Robert & Justine CrumeMynne Building Corp.
Name: JOE BAKER'
Company: BIG LAKE ROOFING & REPAIRS
Address: 2699 NW 16TH BLVD.
Address: 34 La Villa Way/12804 SW 122nd Ave.
City: Ft Pierce/Miami State: FL
Zip Code: 34952/33186 Fax:
City: OKEECHOBEE State: FL
Phone No. 772-468-7550
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
from the Owner listed above)
State or County License: CCC046939
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW- INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
I
Address:
City:
State:
City:
State:
Zip: Phone:
I
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
/Not Applicable
Name:
Name:
Address:
Address:
City:
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 Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested pelrmit, 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 your Notice 'of Commencement.
Signature of Owner/ Agent/ Lessee
STATE OF FLORID
COUNTY OF bT
The fofI M
r�'ng instrument was acknowledge 4 efore me
this 4�y of Oy
i
0IJ:1-r
(Name of person acknowledging)
I
I
I
(Signature of otary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. te. •..e
Edwardsoi
i 'r'__ rnMMISSION # FF125216
WWw.AARONNOTARY.COM
Revised 07/15/2014
Signature of Contractor/License Holder
STATE OF FLO
COUNTYOF
The for_Oging instrument was ack owledgfore me
this In -My of
sli e a a_�
(Name of person acknowledging)
(Signature of Notary Pub ic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
,�P" , ; tether Edwardson
Commission No. ,�`a�.•.�/e�,
COMMISSION FF125216
WWW.AARONNOTARY.COM
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