HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: 8CNtl� Permit Number:
tl�i RECEIVED
14
Will !I
Building Permit Applicati n APR 201�
-Planning and Development Services ST. Lucie County, Pc2rI)ll&Iliy9
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1518 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT. LOCATION: -
Address: 5 LAGOS DEL NORTE, FT PIERCE, FL 34951
Legal Description: 1 34 39 - SPANISH
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
COUNTRY CLUB VILLAGE
DETAILED DESCRIPTION CIF W' ORK: ,
Right Side: Left Side:
REMOVE EXISTING ROOF &/ REPLACE ANY ROT
INSTALL'ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM 3/12 MOBILE HOME
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit —check
❑HVAC Gas Tank ❑Gas Piping
all
that apply:
Shutters
-
❑ Windows/Doors
LJ
❑ Electric ❑ Plumbing
[]Sprinklers
❑ Generator
Ft/] Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1,600
S�Ftj of First Floor:
Cost of Construction: $ 6;960.
Utilities..
Sewer
❑
Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name SANDY MCALLISTER/ WYNNE BUILDING CORP
Name: JOE BAKER
Company: BIG LAKE ROOFING & REPAIR
Address:5 LAGOS DEL NORTE / 12804 SW 122ND AVE
City. FT PIERCE / MIAMI State: FL
Zip Code: 34952/33186 Fax:
Phone No.(734) 391-5103,
Address: 2699 NW 16TH BLVD
City: OKEECHOBEE - State: FL
Zip Code: 34972 Fax:
Phone No. (863) 763-7663
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed' above)
E-Mail: bigiakeroofing@yahoo.com
State or County License: CCC046939
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL.CONSTR,UCTiON LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
N1 Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State: l
!
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
I
Address:
City:
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 vour Notice of Commencement.
Signature of Owner Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLO IDA STATE OF FLORIDA
COUNTY OF ¢i I COUNTY OF��li1 -P
The forggirig instruinent was acknowledged before me
this ' d4 of ► 20 ('�5by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. .�````01pl l", HeatheWwardson
'= COMMISSION # FF125216
EXPIRES: May 21, 2018
Revised 07/15/20Y °Fo� YVWWAARONNOTARY.COM
The forgoing instru ent was acknowledged,bbgfore me
this 79,y of �20_ y
Or_ ��'
(Name of person acknowledging)
{ (Signature of Notary Public- State of Florida )
(Personally Known OR Produced Identification
Type of Identification Produced
Commission No. �t`6�$"%•,, HeftEdwardson
Yea �K= COMMISSION # FF125216
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