HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '1 ` �� I �� ��Permit Number:
RECEIVED
Building Permit Application APR 19 2018
Planning and Development Services ST. Lucie Count ti wtiiinitip
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof El
PROPOSED IMPROVEMENT LOCATION:
Address: 8610 FLORENCE DR., PORT ST. LUCIE, FL 34952
Legal Description: LA BUONA VITA COOPERATIVE
Property Tax ID #: 3426-664-0080-000-1
Site Plan Name:
Project Name:
Setbacks Front _ Back:
81 (OR 3787-1489)
Right Side: Left Side:
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
Lot No.81
Block No.
CONSTRUCTION INFORMATION":
itiona wor to e e orme under this permit— check
i
all
t= apply:
Q
❑HVAC
_
Gas Tank
❑Gas Piping
Shutters
Windows/Doors
❑ ❑
❑S,prinklers
i
❑ Generator
Ri Roof 3/12 Roof
Electric
Plumbing
pitch
Total Sq. Ft of Construction: 1,600
S . Ft. of First Floor:
Cost of Construction: $ 7,600
Utilities:[]Sewer
❑Septic
Building Height:
OWNER LESSEE:
CONTRACTOR:
NameJOANNE & KENT DUMAS
Name: JOE BAKER
Address:8610 FLORENCE DR.
Company: BIG LAKE ROOFING & REPAIR
City.. PORT ST. LUCIE State:FIL
Zip Code: 34952 Fax.-
Phone No. (772) 342 8248
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address: 2699 NW 16TH BLVD
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax:
Phone No. (863) 763-7663
E-Mail: biglakeroofing@yahoo.com
State or County License: CCCO46939
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW (NFORMATION;
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone: I
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 1
Address:
City:
Zip: Phone: I
City:
Zip: Phone:
I certify that no work or installation has commenced prior to0e 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, scjeen 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.
5-
Signature of Owner/ Agent/ Lessee
STATE OF FLORIDA 1-
COU NTY OF [7C,�
I
The f,lgoi instrurRent wasracknowledge fore me
this
of 1� 20 by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida
I
Personally Known R Produced Identification
Type of Identification Produced 1^Q
Commission No. °0�� Heaft d ardson
'= COMMISSION # FF125216
'141�iWWR WWW
Revised 07/15/2014
'le t, wz,
Signature of Contra r/License Holder
STATE OF FLORI A
COUNTY OF
The fpr�i�g instrument was a knowledg di fore me
this d of % 20 y
\�Jo_ le () 67_1k�_,
(Name of person acknowledging)
(Signature of Notary Public- Stafe of'Mo—rida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. .�
Heafikuuardson
_R'P��
=-0�
COMMISSION # FF125216
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