HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL ^I PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date Permit Number. /?N - 04gV
,If
SCANNED
ENE®
BY RECEIVED
Building Permit Applicatiorl8t.LucjLz(1 nnt`�
Plan mg and Development Services AU6 17 2018
Bulb g and Code Regulation Division Permitting Department
230 , I irginia Avenue, Fort Pierce FL 34982
st. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxxxxxx
PERMIT APPLICATION FOR: Roof
PRO.POS,ED IMPROVEMENT LOCATION
Address: 13974. GORRION CT, FT. PIERCE, FL 34951
Legal
ption: 06/07 34 39 - SPANISH LAKES FAIRWAYS
Prope'E'i y Tax ID #: 1306-111-0001-000-6 Lot No.
Site PI n Name: Block No.
Projec`i Name:
Setbaf--ks Front Back: Right Side: Left Side:
DEVILED DES �CRIPTION`OF WORK. -
REMOVE
EXISTING ROOF & REPLACE ANY ROT
INSLL ASTM-226 30# UNDERLAYMENT
i
INSTALL 26 GA METAL ROOF SYSTEMPA E
CONSTRllCT]ON I�IFORNi'ATION.
iti'. na wor to e e orme under this permit— check a apply:
VAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors L
_ lectric Plumbing Sprinklers Generator Roof
Total q. Ft of Construction: 1,300 S . Ft. of First Floor:
Cost o�Construction: $ 6,175 Utilities: _Sewer Septic Building Height:
OWNER/,LESSEE;;'
CONTRACTOR:..
NameWl
Addre4
City:
Zip Cd
Phone;
E-Maid
Fill in
from ti
ynne Building Corp/'Donna Konieczny
Name: JOE BAKER
Company: BIG LAKE ROOFING & REPAIRS
Address: 2699 NW 16TH BLVD.
:12804 SW 122nd Ave. / 13974 GORRION CT
, iami / Ft. Pierce State: FL
1be:` 33186 / 34951 Fax:
772-466-1837
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
No.
I e simple Title Holder on next page ( if different
e Owner listed above)
E-Mail: BIGLAKEROOFING@YAHOO.COM
State or County License: CCC046939
If value,16f construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
09
DESIGNER/ENGINEER:
Named:
Addr(
City:
Zip: 11
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
ss:
Address:
State:
Phone:
LI
City: State:
Zip: Phone:
FEE S
Nam
Addr
City: J
Zip:
MPLE TITLE HOLDER: Not Applicable
:
BONDING COMPANY: Not Applicable
Name:
ss:
Address:
City:
ll Phone:
Zip: Phone:
that no work or installation has commenced prior to the issuance of a permit.
St. Luce County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which kS in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct r� e. 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 acco,tclance 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
WARM' ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impri: cements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befor? the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
li
_ e
SignatyIre of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLO A
COUNTY OF Qg4e./ i �P COUNTY OF C D [}CP
The f&g i g instrumt was acknowledg fore me
this,K of . L.4, 20�by
o
;Namelof person acknowledging)
(Signa ,lure of Notary Public- State of Florida )
Person Illy Known � OR Produced Identification
Type o I identification Produced
The forg 'ng instru was acknowledg efore me
thh aay of 2040 by
(Name of person acknowledging)
(Signat rue of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identificatio Prouc ded
No. 11
HEDWARDSON Commission No.
MY COMMISSION # GG 215185 111
Public Underwriters
07/15/201
HFAWA IDSON
MY COM ISSI # GG 21518€
EXPIRES: May 21, 2022
onded N N01
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