HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE` INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: u1��� 1yt S(;AIV�14rJt.1, Permit Number: \Cj �53�
, l4J U
ilriormInt, RECEIVED
Building Permit Applica[ionAPR 18Planning and Development Services ucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xXXXXxxx
PERMIT APPLICATION FOR: Roof
PROPOSED, IMPROVEMENT!LOCATION:'; ,
Address: 13950 DALIA AVE. FT. PIERCE, FL 34951
Legal Description: 06/07 34 39 - SPANISH LAKES
RWAYS
p y 1306-111-0001-000-0
Pro ert Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
D`ETAILED;DESCRIPTION'OF WORK: "
REMOVE EXISTING ROOF & REPLACE ANY ROT 1
INSTALL ASTM-226 30# UNDERLAYMENT fS
INSTALL 26 GA METAL ROOF SYSTEM l /
Ie),
CONSTRUCTION INFORMATION• �
Additional work to be e orme under this permit — check a apply:
I�HVAC 13 Gas Tank ❑Gas Piping I� _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1,800 S . Ft- of First Floor:
Cost of Construction: $ 7,800 Utilities: E]Sewer ElSeptic Building Height:
l
OWNFRAESSEE:
',CONTRACTOR:.
Name JAMES MCINERNEY i WYNNE BUILDING CORP.
Address:13950 DALIA AVE. / 12804 SW 122ND AVE
Name: JOE BAKER
Company: BIG LAKE ROOFING & REPAIRS
City: FT. PIERCE / MIAMI State: FL
Zip Code: 34951 133186 Fax:
Phone No. 631-588-4072
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
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: BIGLAKEROOFING@YAHOO.COM
State or County License: CCC046939
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable
Name: 11,
BONDING COMPANY: Not Applicable
Name:
Address: I
Address:
City:
Zip: Phone: {
City:
Zip: Phone:
I
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 your Notice of Commencement.
Signature of Owner/ Agent/ Lessee
i
Signature of Contractor/License Holder
STATE OF FLORI STATE OF FLORIDA
COUNTY OF ( t�' COUNTY OF O �( n,
I
The Wgri i instrum t was a knowledge fore me'� The rig instru ent was acknowledge fore me
this a r of� 20 by this cYa>c of ��J 20: y
Th
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known 20, OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Signature of Notary Pu lic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
2— Commission No.
# FF125216
u 21. 20'1
COMMISSION # FF125216
EXPIRES: May 21, 2018
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