HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -` i� i, /�ANN� Permit Number:
M
• O 1101PN NIPa`V RECEIVED
Building Permit Application AoR 18 201$
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
PROPOSED IMPROVEMENT LOCATION:
Address: 8641 MARYANN LANE, PORT ST. LUCIE, FL 34952
Legal Description: LA BUONA VITA COOPERATIVE UNITILOT 99 (OR 3847-1317)
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Property Tax ID - 1� � �`�P ' �" ddq� ' d00 - a Lot No.99
Site Plan Name: I Block No.
Project Name:
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Setbacks Front Back: I Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM 3/12 MOBILE HOME
CONSTRUCTION INFORMATION:
—AUaitional work to ej performedI under this permit — check a apply:
❑HVAC L_J Gas Tan ❑Gas Piping _ Shutters Q Windows/Doors
❑ Electric ❑ Plumbing Sprinklers Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1,650 S .. Ft. of First Floor:
Cost of Construction: $ 7,350 It Utilities: _ Sewer El Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name NORMAN & SUSAN SPINNEY
Name: JOE BAKER
Address: 50 BROOKHOUSE DR.
City: MARBLEHEAD State: MA
Zip Code: 01945 Fax:
Phone No.(978) 729-5940
Company: BIG LAKE ROOFING & REPAIR
Address: 2699 NW 16TH BLVD
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax:
Phone No. (863) 763-7663
E-Mail: biglakeroofing@yahoo.com
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CCC046939
Iif value of construction is $2500 or more, a RECORDED Notice of Commencement is regwrea. I
SUPPLEMENTAL CONSTRUCTION LIENr LAW INFORMATION:,,
DESIGNER/ENGINEER: Not Applicable
Name:
Address: !
MORTGAGE COMPANY: of Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone: i
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address: i
BONDING COMPANY: Not Applicable
Name:
Address:
City: I
City:
Zip: Phone: I
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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 requestedlpermit, 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, wills, 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 intend1to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee
STATE OF F1
COUNTY OF
The JpTgng instrument was acknowledgeMy
ore me
thisy of 20
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(Name of person acknowledging)
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(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Prod)C"uced
Commission No. He{ Edwardson
.`�A�'p�e�'%
9A COMMISSION # FF125216
nN .AARONNOTARY.COM
Revised 07/15/2014 'r"'
Signature of Contractor/License Holder
STATE OF FLOR
COUNTY OF —�
The f rg�pp�i gin stru ent was ac nowledg fore me
this : y of 203y
(Na of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
4
Type of Identificatio Produced
Helier) Edwardson
Commission No. P• • e �.
�__ COMMISSION # FF125216
wmAARONNOTARY.COM
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