HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr�
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �2" LNIti Id I, SCANNED Permit Number: 06�--GOS5
BY
kw P ECEIVED
Building Permit Applicatio APR 0 4 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR. Roof��� 1
PRO ., I -, 1IVIP9C+VEMfIVT
Address: 5909 Fort Pierce Blvd. Fort Pierce
Legal Description: Lakewood Park Unit 5 Blk 48 Lot 17
Property Tax ID #: 1301-605-0217-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No._
Block No.
Tear off existing shingle roof, Re -nail plywood, Dry -in with Polystick TU Plus FL5259-R27,
Install 5V Metal Crimp roof system FL 14654.4-R3
E1HVAC
Electric 0 Plumbing []Sprinkle ls1:1 W1 Roof 5:12
I
Total Sq. Ft of Construction: 20 I S . Ft. of First Floor:
Cost of Construction: $ 11,500.00 utilities:�Sewer Septic Building Height:
LJ Shutters
Generator
0 Windows/Doors.
Roof pitch
OWNER/LESSEE,` k:d
CONT�RAC-0TOR rk. 4� t'
Name Sherron Swapp
Name: Christopher A. Long
Address: 5909 Fort Pierce Blvd
Company: The Roof Authority, Inc.
City: Fort Pierce State: FL*
Address: 6771 N. Old Dixie Hwy
Zip Code: Fort Pierce Fax:
City: Fort Pierce State. Fl.
Phone No. 407-446-6444
Zip Code: 34946 Fax: 772-468-2247
E-Mail:
Phone No. 772-468-7870
Fill in fee simple Title Holder on next page ( if different
E-Mail: tra1993@gmail.com
from the Owner listed above)
State or County License: CCC056933
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGINEER: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY: ^Not Applicable
Name'
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 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 your Notice of, Commencement.
`�1�1�i1T�it�r.�- I - s
_ Signature of Owner/ Lessee/Agent Sign re of Co ractor/License Holder
STATE OF PLucie
FLORY
COUNTY OF
The forgoing instrument wa acknowledged fore me
J this 77 day of A /12C_�L, 20 by
5herra� � _
(Name of person acknowledg non
Owner/Lessee/Agent Print ed Name
STATLORIDA
COUNTY OF
The forgoing instrument was cknowledged before me
this � day of l 20 1 V by
(Name of person acknowledging) Contfactor's Name
(Signature of Notary Public- State of Florida) (Signature of Nlotary Public- State of Florida )
Personally Known OR Produced Identification Personally Known 11� OR Produced Identification
Type of Identification Produced /^L L. Type of Identification Produced
Commission No. (SeYL, Commission No. L k- ( D ITS Ti �1jW. Sutton
oth W. Sutton
�otl+svgss y v sow NOTARY PUBLIC
NOTARY PUBLIC _o y
�STATE OF FLQRIL)A ',,. o'
Revised 07/ 15/2014 o s e2 Comm# GG185982 ysi CE j9� ' Comm# GG185982
ONCE 19� Expires 3/20/2022 N Expires 3/20/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS