HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFORM[ UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �% /
Date: ai`f Permit Nu / O O T W
_83CANNED """CE"IVED
BY -a
R'
t. Lucie County
Building Permit Applicatio i JUL 2 4 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 s� i e County, FL
X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Re
PERMIT APPLICATION FOR: Roof El
ROPOSEDIMPROVEMENT LOCATION
address: 7289 Reserve Creek Dr.
I Description. Reserve Creek Parcel 4 Lot 8
roperty Tax ID #: 3322-601-0009-000-6 Lot No.8
I
ite Plan Name: Block No.
roject Name:
etbacks Front Back: Right Side: Left Side:
i
6ETAILED DESCRIPTION' OF WORK:'
emove tile, renail plywood, apply 30# felt and TU Max self adhering underlayment.
�� Install flat tile with two galvanized screws per tile. Apply SAV base sheet and SAP cap sheet on
fl ° t roof.
CONSTRUCTION INFORMATION:
�'clditional work to e e orme under this permit — check a apply:
EIHVAC E] Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof 2 Roof pitch
Tli tal Sq. Ft of Construction: 6100 S . Ft. of First Floor:
C st of Construction: $ 39,800.00 Utilities: Sewer 0 Septic Building Height: 1
!1
0 ,WNER/LESSEE:
CONTRACTOR:
ameDiane Gault
Name: David Packard
dress:7289 Reserve Creek Dr.
Company: Packard Roofing & Waterproofing, Inc.
R�
ty: Port St. Lucie State:F�
C�Ilone
Address: 2182 NW Reserve Park Trace
p Code:34986 Fax:
City: Port St. Lucie State: FL
P No.
Zip Code: 34986 Fax: 772-468-9978
ElMail-
Phone No. 772-468-3723
F111I
in fee simple Title Holder on next page (if different
E-Mail: ssmith@packardroofing.com
fl
m the Owner listed above)
State or County License: CCCA17517
If 4alue of construction is $2500 or more, a RECORDED.Notice of Commencement is required.
u
SUPPLEMENTAL CONSTRUCTION LIEN, LAW'INFORMATIO.N:.
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: "ot Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
City:
Zip: Phone:
I
Address:
City:
Zip: Phone:
5 WNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
I
i
t. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
hich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
tructure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
II
he 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
11VARNING 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
the first inspection. If you intend to obtain financing, consult with lender or an attorney before
iefore
dommencing work or recording our Notice of Commencement.
-Q_
., 0 O
Signature of Contractor/License Holder
_
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S-o LA)J P_
STATE OF FLORIDA
COUNTY OF SSf-. L--?C4 if
The for Ing instrument was acknowledg Abefore me
this ay of' 120 1,5 by
The forgoing instrument was acknowledged before me
this ay of N" , 20 4' by
I ` ao-
_-
Name of persp making statement
Personally Known OR Produced Identification
Name of pers making statement
Personally Known OR Produced Identification
Type of Identification
Produced
Type of Identification
Produced
Lr
(Signature of Nota
STE H I P.SMITH
otary Pu S to of Florida
No. Commislfdl'r>pCiGt39524
Comm. Expires Sep 2, 2021
Ev"e.'
throughNationaINotaryAssn.
(Signature of Notary Publi
Commission No.`.,y
yP STEPHANIEP.SMITH
�����cc�jj� ° ° ` NPlic - State of FloridaCommission
ommi sion GG 139524oF�My Comm. ExpiresSep2,2021nded
Bon dedthrough National NotaryAssn.
PLANS
VEGETATION
SEATURTLE
MANGROVE
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
�IJDATE
1 COMPLETED
o i
ev. 8/2/17