HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATI
Date: I �� SGANN
URN/
�'� � •--+,,, of 9 @ IMP
Building Pe
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
C)N TO BE ACCEPTED
C�I-U)
Permit Number: Ob Lk -051 u 1
RECEIVED
it Applicatio APR 18 Z018
ST. Lucie County, Permitting
mercial Residential xxxxxxxx
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION: I'r
Address: 6639 SPANISH LAKES BLVD. FT. PIERCE, FL 34951
Legal Description: 06/07 34 39 - SPANISH LAKES Fl IRWAYS
Property Tax ID #: 1306-111-0001-000-0
Site Plan Name:
Project Name:
Setbacks Front Back: _
DETAILED DESCRIPTION OF -WORK:
Right Side: Left Side:
Lot No.
Block No.
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM i0 oZ 44�
CONSTRUCTION INFORMATION:
Additionalworkto e e orme un er t Is permit — c ec a apply:
[1HVAC 0. Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric E] Plumbing (Sprinklers E] Generator W1 Roof
Total Sq. Ft of Construction: 1,750 1 S . Ft. of First Floor:
Cost of Construction: $ 7,440 Utilities: _ Sewer I] Septic Building Height:
.OWN ER/LES-SEE=-
Name VIC SZEWCZYK / WYNNE BUILDING CORP.
Name: JOE BAKER
Company: BIG LAKE ROOFING & REPAIRS
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
E-Mail: BIGLAKEROOFING@YAHOO.COM
Address: 6639 SPANISH LAKES BLVD:// 12804 SW 122ND AVE
City. FT. PIERCE / MIAMI State: FIL
Zip Code: 34951 / 33186 Fax: I
Phone No. 978-751-4054
E-Mail: /
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above);
1
State or County License: CCC046939
If value of construction is $2500,br more, a RECORDED Notice of Commencement is requires. I
"SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable I MORTGAGE COMPANY: Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State:
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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
STATE OF FLORI A
COUNTY OF _
The f r pig instru ent was acknowledges+ fore me
this dray of r 1 20 by
(Name of person acknowledging)
(Signature of Notary Public- State orida )
Personally Known OR Produced Identification
Type of Identification Produced
'�1-- t dn' son
Commission No. .`��•'"''e�'�; ON # FF125216
EXPIRES: May 21, 2018
Revised 07/15/2014
Signa lure of Contractor/License Holder
STATE OF FLORID
COUNTY OF Q Nl^ ,��, ^A
�c V
The forg2M instru ent was a knowledg fore me
this �' day of 20��y
(Name of person acknowledging)
I
(Signature of Nota Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. ,`gov'��e� , H qqr Edwardson
COMMISSION # FF125216
wvvw.AARONNOTARY.COM
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS