HomeMy WebLinkAboutPERMIT APP, 1803-0231i
APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
!e: Permit Number: ���
® Building Permit Application
ing and Development Services MAR - S 2018
ng and Code Regulation Division
Virginia Avenue, Fort Pierce FL 34982
e: (772) 462-1553 Fax: (772) 462-1578 Commercial - Residential xxxxxxxx
PERMIT APPLICATION FOR: Roof
PROPOSEDIMPROVEMENT LOCATION` III AIrlHrec<• 11 BUENAS AIRES FT. PIERCE, FL 34951
Description: SPANISH LAKES COUNTRY CLUB VILLAGE - 1 34 39
ierty Tax ID #: 1301-111-0001-000-5. Lot No._
Plan Name: Block No.
0F171M
Front Back: Right Side:
Left Side:
I DETAILED DESCRIPTION OF WORK: i III
EXISTING ROOF & REPLACE ANY ROT
ASTM-226 30# LINDERLAYMENT
26 GA METAL ROOF SYSTEM
�AOF ILE. rVV\&G
CONSTRUCTION INFORMATION: j, ill
I1HVAC U Gas Tank
11 Electric 0 Plumbing
tal Sq. Ft of Construction: 1,700
st of Construction: $ 7,225
Piping
LJShutters ❑Windows/Doors
Generator ❑� Roof
S Ft. of First Floor:_
Utilities:li Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
,Name MARGARITA SILVA i WYNNE BLDG., CORP.
Name: JOE BAKER
Address:11 BUENAS AIRES / 12804 SW 122ND AVE.
Company: BIG LAKE ROOFING & REPAIRS
Address: 2699 NW 16TH BLVD.
LIity; FT. PIERCE/ MIAMI State: FL
,(Zip Code: 34951 / 33186 Fax:
((Phone No.772-370-3786
City: OKEECHOBEE State: FL
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)
I
State or County License: CCC046939
�
or construction is Sz5ou or more, a RECORDED Notice of Commencement is required.
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A_ ►-
SUPPLEMENTALCONST'JiLl ON LIEN LAW INFORMATION:
L
DI ESIGNER/ENGINEER: of Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
I
Address:
Address:
City: State:
Zlip: Phone:
City: Stater
Zip: Phone:
FEE SIMPLE TITLEHOLDER: of Applicable
Name: �
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
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I
I
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City:
City:
Zip: Phone:
I
Zip: Phone:
that no work or installation has commenced prior to the issuance of a permit.
Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
rich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
'ucture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
e following building permit applications are exempt from undergoing a full concurrency review: room additions,
cessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
'ARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
Iprovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
!fore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
immencing work or recording our Notice of Commencement.
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLOR DA
COUNTY OF Q fG
STATE OF FLORIDA p_ -
8
COUNTY OFOL�i_�P C�iL�1-b?t'
he or ing instrument was arknn IPdgedj�efore me
The fs,rgping instru ent.was.acknoipk dge Jief re me
this ay of Ynn� 20 �$ by
this ay of 20 b
((Jame
of person acknowledging)
(Name of person acknowledging)
of Notary Public -'State of Florida)
(Signature of Notary Public -State of Florida )
lSignature
ersonally Known YL OR Produced Identification
Personally Known OR Produced Identification
of Identification Produced
Type of Identificationuced
type
ommission No. ?la'.•Pl/,elo, I #her Edwardson
Commission No. �niv1m&_lwher Edwardson
MISSION f FF125216
COMMISSION
Via'" o'
- COMMISSION # FF125216
%. n ' F°� VAYW.AARONNOTARY.COM 2ry•;.
Revised07/15/2014 " %.,, oho° www.AAROIINDTARY.COMI
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