HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
te: 1� Permit Number:
SCANNED
Met 71,17 � [BY --- I�ECEZVED
IMN• - . St. Lucieowty
.
Building Permit Application AUG 14 M8
nning and Development Services ST. Lucie County, Permitting
Iding and Code Regulation Division
)0 Virginia Avenue, Fort Pierce FL 34982
one: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
P5RMIT APPLICATION FOR: Roof
S
ass: 7102 Penny Lane, Fort Pierce, FL 34951
Description: LAKEWOOD PARK - UNIT 9 - BLK 109 LOT 6 (MAP 13/01 N) (OR 238-1843)
)erty Tax ID #: 1301-611-0184-000-6
Plan Name:
ect Name: Applebee
backs Front Back: _
Right Side: Left Side:
off existing shingle roof. Install new 5-V metal roofing system.
un
JHVAC LJ Gas Tank
Electric 0 Plumbing
I Sq. Ft of Construction: 2040.51
of Construction: $ 18,000.00
Na I° a Lynda & Carlton Applebee, Jr.
Ad��I1ress: 7102 Penny Lane
CitI Ft. Pierce
i.
zip �Code- 34951 Fax:
Pho1i a No.
EW ail:
Lot No. 6
Block No. 109
this permit — check all apply:
E]Gas Piping _ Shutters Q Windows/Doors
Sprinklers Generator W1 Roof 3 `3T/Roof pitch
S Ft. of First Floor:
Utilities:Sewer Septic Building Height:
State: FL
Fill jiIIn fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Paul R. Lucas
Company: Lucas Roofing, Inc.
Address: 455 3rd Lane SW
City: Vero Beach State. FL
Zip Code: 32962 Fax: 772-778-9457
Phone No. 772-567-0625
E-Mail: Lucascompanies@aol.com
State or County License: CCC1326319
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
0 III
NEER: X Not Applicable
Name:
Address:
City: State:
Zi
Phon
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 455 3rd Lane SW
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone
Not Applicable
tate:
_Not Applicable
O ��NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I ce ify that no work or installation has commenced prior to the issuance of a permit.
St. ucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whi' h 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 a.ny 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 ae„Icordance 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,
acceahlssory 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
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Signature
of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
S-ATE
OF FLO I A
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STATE OF FLORIDA, c
COUNTY
OF L Jam.
COUNTY OF—!k _
Thi�
forgoing instrument was acknowledge before me
13%
The forgoing instrument was acknowledgel before me
� day 20 N by
thl
day of !�q 20_jj by
this of
Name -of person making statement
Name of person making statement
Per,ponal,ly
Known OR Produced Identification
Personally Known OR Produced Identification
Type
of Identi ication
Type of Identification
Produced
ProducednEAN
NA r+�ARIE
(Signature
of Nota , , � ` aterR(fCP8 mber16,2o20
I � iR�f ® 022023
(Signature o=41RE
Bg�,�� + EXPIRE �ry pubue ur.�len K 1
No. sonde "`
Ik'
S: December16, d02000rnmission
CommissionhruW.1yPubl(t� Baser,
R�VIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DAjTE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17