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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I U©U - c /_�pU Building Permit Application PEW ning and Development Services St. LUC(aCcun ling and Code Regulation Division ) Virginia Avenue, Fort Pierce FL 34982 X ne: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Roof ROPOSED IMPROVEMENT LOCATION: Address: 5811 Shannon Drive Fort Pierce, Fl. 34951 Description: Lakewood Park Unit 11 Blk 140 Lot 19 ierty Tax ID #: 1301-613-0103-000-1 Plan Name: act Name: John Baumker Jacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No. Block No. off existing slope and flat roof. Renail sheathing to code. Dry in slope roof with Tribult Sand SA FL16048-R6 install ns Corning Tru Definition Shinlges FL16074-R13. On Flat roof install 1/4" per ft. tapered insulation and Polyglass ;toflex SA V as base and Elastoflex SA P as cap. QONSTRUCTION INFORMATION: —aditiona wor to jeer orme under t is permit - c ec a app y: 11HVAC L__I Gas Tank Gas Piping Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof 3/12 Roof pitch T tal Sq. Ft of Construction: 2200 S Ft. of First Floor: C st of Construction: $ 13,300.00 Utilities:In Sewer 0 Septic Building Height: WNER/LESSEE: CONTRACTOR: N Address: Ci Zip Pf�one E Fi fir mme John Baumker Name: Christopher A. Long Company: The Roof Authority, Inc. 5811 Shannon Drive ty: Fort Pierce State: FL Code: 34951 Fax: No. 772-240-5506 Address: 6771 N. old Dixie Hwy. City: Fort Pierce State: Fl. Zip Code: 34951 Fax: 772-468-2247 Phone No. 772-468-7870 Mail: I in fee simple Title Holder on next page ( if different m the Owner listed above) E-Mail: tral993pgmail.com /joann.tra@gmail.com State or County License: CCC056933 If �alue 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: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: City: address: City: Zip: Phone: III Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I Icertify that no work or installation has commenced prior to the issuance of a permit. S l Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure ich is in,conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such stfucture. 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. Tie following building permit applications are exempt from undergoing a full concurrency review: room additions, a Icessory 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 i provements 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 ci mmencing work or recording your Notice of Commencements i1 J s Agent for Owner I Signkture of Contractor/License Holder ATE OF FLORIDA STATEDF FLORIDA )LINTY OF St. Lucie COUNTY OF St. Lucie forgoing instru ent was acknowledged before me yday of /�v 20�by ✓6 kA) 1141)U4kC4_ Name of person making statement ersonally Known OR Produced Identification ype of Identification roduced 7�-L 'j C_ n iature o� Notary Public- r,State of Florida ) �)"�1KL �OtPR I) Timothy W. Sutton mission No. C? C7 NOTARY PUBLIC • STATE OF FLORI EWS I COUO TJPERVIS ER REEVIEW INING REVIEW TE 'EIVED MPLETED 8/2/17 The for ing instrument was acknowledged before me this ay of :o S7 20teby Christopher A. Long Name of person making statement Personally Known X OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida ) G QthyW, Sutton Commission No. C� u j(L�tARY�s (SNOTARY PUBLIC A �� � STATE OF FLORIDA PLANS I VEGETATION I SEA TURTLE ---MANGRO REVIEW REVIEW REVIEW REVIEW