HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit.Number: Nog-.O��i
5"CANNED
Building Permit Application St. �udc Coup 2o�e
Plan ' bg and Development Services h � r
Budd ,Ilrrg and Code Regulation Division iara9 DeP u^ yen
2300;Virginia Avenue, Fort Pierce FL 34982 Perm V.Ude Co
Pho e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx>5&axx
PER 'MIT APPLICATION FOR: Roof
Addri
Legal
6740 MAR PACIFICO CT, FT. PIERCE, FL 34951
ption: 06/07 34 39 - SPANISH LAKES FAIRWAYS
Prope ii yTax ID #: 1306-111-0001-000-Q'
i
Site PI' n Name:
Proje Name:
Lot No._
Block No.
Setbai ks Front Back: Right Side: Left Side:,
-DET AILED-DESCRIPTION»OF WORI -.{
REMOVE VE EXISTING ROOF & REPLACE ANY ROT �
INSTALL ASTM-226 309 UNDERLAYMENT XINS ALL 26 GA METAL. -ROOF SYSTEM 02 [+D AA G7
�kON TRUCTION INFORMATION
rtj Dnal work to e nertormed under this permit — check all t= apply:
D_ VAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
lectric 11 Plumbing Sprinklers O Generator 7 Roof
Total
Cost
1. Ft of Construction: 1,400
Construction: $ 6,300
S Ft. of First Floor: _
UtilitiesSewer Septic
Building Height:
01N
ERf LESSEE:' ::
CONTRACTOR:' `
Name!
AddrIs:
City: IO'
Zip C ��
Phon
E-Ma
Fill in
from
Ynne Building Corp / Richard J Horrigan
Name: JOE BAKER '
12804 SW 122nd Ave. / 6740 MAR PACIFICO CT
iami / Ft. Pierce State: FL
de: 33186 / 34951 Fax:
No. 617-462-0824
Company: BIG LAKE ROOFING & REPAIRS
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
E-Mail: BIGLAKEROOFING@YAHOO.COM
' :
ee simple Title Holder on next page ( if different
heOwnerlisted above)
State or County License: CCC046939
If valuo of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW. INFORMATION:.'
DESIGNER/ENGINEER:
Name
Addr
City:I
Zip:
�
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
ss:
Address:
State:
II Phone:
I
City: State:
Zip: Phone:
FEE SIMPLE
Nam
Addr
City:
Zip:
TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
ss:
Address:
I
City:
k Phone:
Zip: Phone:
I certi that no work or installation has commenced prior to the issuance of a permit.
St. Luc County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct ''re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cons lideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acc dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fo�lowing building permit applications are exempt from undergoing a full concurrency review: room additions,
access ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR ONG 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 rqcerding your Notice of Commencement.
i
Signa re of Owner/ Agent/ Lessee Signature of Contractor/License Holder
I
STATE OF FLORID - D,, STATE OF FLORID p_
COU TY OF d C/��/�P� COUNTY OF
TheLlfta
instrument was acknowledggg efore me The f rqM' instru t was acknowledg efore me
thi of �(Q f� 20`_ by this y of 20 by
fle CL
(Nam0 of person acknowledging) (Name of person acknowledging)
(Sign "ture of Notary Public- State of Florida) (Signature of Notary Pu ic- State of Flonda )
Perso'I ally Known � OR Produced Identification Personally Known OR Produced Identification
Type � f Identification Produced Type of Identification Produced
Coin fission No. �^" `.' N I?DWARDSON Commission No. ` Yt` HEATHER SON
COMMISSIFRf#OG215185
MY COMMISSION # GG 215185 EXPIRES: May 21, 2022
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Re .ised 07/15/201
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