HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL
LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Permit Number: J 0
III
LU)
is
Building Permit Application RECEIVED
Planning and Development Services
euild►g and Code Regulation Division AUG 1 ,7 2019
2300 Virginia Avenue, Fort Pierce FL 34982 Per t
Pho r. (772) 462-1553 Fax: (772) 462-1578 Commercial Residentla�ent
Z
T APPLICATION FOR: Roof
SED
IMPROVEMENT.,LOCATION ;- "," ':'
Legal
6748 DULCE REAL AVE, FT. PIERCE, FL 34951
on: 06/07 34 39 - SPANISH LAKES FAIRWAYS
Proper yTax ID#: 1306-111-0001-000 d Lot No.
Site PI n Name: Block No.
Project Name:
Setba ks Front Back: Right Side: Left Side:
D"ET �ILED,DESC,RIPTIO' OF WORK
REM VE EXISTING'ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT " "0 L�
INST LL 26 GA METAL ROOF SYSTEM �%—
�Ivl-L.'
Co
�..
TR,UCTIQN INi=ORNiATIOiV
Additi
ElVAC
nal work to e
01
e orme under
Gas Tank
this permit —check
E]Gas Piping
a
app y:
Shutters
❑ Windows/Doors
_
Ellectric
El Plumbing
[]Sprinklers
❑ Generator
Z Roof
Total S1.
Ft of Construction: 1,500
S . Ft. of First Floor:
Cost o
I Construction: $ 6,800
Utilities: uSewer
❑Septic
Building Height:
OW�
fER%LESSEE._ ._ '. ,.,...
CONTRACTORS.'"
Name
Addre
City:
Zip C
Phone
E-Mai
Fill in
from t�a
Mynne Building Corp / Nancy Hochella
Name: JOE BAKER
s:12804 SW 122nd Ave. / 6748 DULCE REAL AVE
iami / Ft. Pierce State: FIL
' e: 33186 / 34951 Fax:
No. 860-995-2485
:
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
owner listed above)
State or County License: CCC046939
If valu�,Jof construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP
EN(ENTAL CO'NSTRUCTION'LIEN LAIN INFORiVIAT(ON:
DESI
Name
Add re
City:
Zip:
ER/ENGINEER: Not Applicable
'
MORTGAGE COMPANY: Not Applicable
Name:
s:
Address:
State:
Phone:
City: State:
Zip: Phone:
FEE SIMPLE
Name'
Addr
City:
Zip:
TITLE HOLDER: of Applicable
BONDING COMPANY: Not Applicable
Name:
s:
Address:
City:
Phone:
Zip: Phone:
that no work or installation has commenced prior to the issuance of a permit.
St. Luc!�Ji�ounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which in conflictwith any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibitsuch
structu. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cons eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acco dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foil wing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessc ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARP ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impro tements to your property. A Notice of Commencement must be recorded and posted on the jobsite
beforl the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordine vour Notice of Commencement.
Signatollre of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STAT OF FLORIDA STATE OF FLORIDA
Col OF P��GP��� COUNTY OF IJAAs ee
Thetoftnfg instrument was acknowledgg�efore me
thiy of �� Lt�.t. 20L b
person acknowledging
The forgojng instrur ent was acknowledge before me
thibbly of 20' by
(Name of person acknowledging)
(Signal ure of Notary Public- State of Florida) (Signature of ary Public- State of Florida )
Person Ily Known.
OR Produced Identification Personally Known OR Produced Identification
Type o Identificatio Produced Type of Identification Produced
Comm sion No. H EDWARDSON Commission No. ..'%P'' •HEATIWARDSON
�� '._: MY COMMISSION # GG 2151a5A"-'- MY COMMISSION# GG 215185
EXPIRES- May 21.2022
~'f o► °P'�- 9ondod TMtI No* Public Un�iervrtilers °F FtEXPIRES, May 21, 2022� kndW Tln Notary PuNk Underwriters
Revi) ed 07/15/201 ^°
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