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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL I INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED © 6_ / Permit Number: 1 poi• aO NJMZIUJ� SCANNED Building Permit Application sy Plan Lin Development Services Lu de OWN Build, g and Code Regulation Division 2301 Virginia Avenue, Fort Pierce FL 34982 Pho e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxxxxxx PERMIT APPLICATION FOR: Roof Legal QED IIVIPR , VEM'ENT LOCATION 13982 DALIA AVE, FT. PIERCE, FL 34951 ,ription: 06/07 34 39 - SPANISH LAKES FAIRWAYS PropehyTax ID #: 1306-111-0001-000--0 Site PI n Name: ProjecName: t Lot No. Block No. Setba ks Front Back: Right Side: Left Side: DET` AILED DESCRIPTION OF WORK: REM VE EXISTING ROOF & REPLACE ANY ROT /\vA INST�' LL ASTM-226 30# UNDERLAYMENT e INST CL 26 GA METAL ROOF SYSTEM i CQ.N fTRUCTION INFORMAT.JON Additi)nal work to e e orme under ❑ VAC 13 Gas Tank this permit— check []Gas Piping a apply: _ Shutters ❑ Windows/Doors ❑11 lectric Plumbing ❑Sprinklers ❑ Generator Roof Total S . Ft of Construction: 1,800 S . FtFtj of First Floor: Cost o IConstruction: $ 7,850 i Utilities: LJSewer Septic Building Height: "OWNER/LESSEE: CONTRACTOR:, Name Addre City: Zip Cot Phone. E-Mail Fill in f' from t Ynne Building Corp / Linda Miller Name: JOE BAKER : 12804 SW 122nd Ave. / 13982 DALIA AVE Company: BIG LAKE ROOFING & REPAIRS Address: 2699 NW 16TH BLVD. iami / FL Pierce State: FL 33186 / 34951 Fax: 202-615-5113 City: OKEECHOBEE State: FL Zip Code: 34972 Fax: 863-763-7662 Phone No. 863-763-7663 I - a simple Title Holder on next page ( if different e Owner listed above) I E-Mail: BIGLAKEROOFING@YAHOO.COM State or County License: CCC046939 If value Of construction is $2500 or more, a RECORDED Notice of Commencement is required. ;"SUP f rLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: " DESI NER/ENGINEER: Not Applicable Nam : MORTGAGE COMPANY: Not Applicable Name: Addr ss: Address: City: Zip: State: !! Phone: City: State: Zip: Phone: FEE S Nam Addr City: Zip: MPLE TITLE HOLDER: Not Applicable �: BONDING COMPANY: Not Applicable Name: ss: Address: I City: Phone: 'I Zip: Phone: 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 r in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such struct j e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In con ,deration 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 fol owing building permit applications are exempt from undergoing a full concurrency review: room additions, access dry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARI ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for impr '' ements 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 comn'llencine work or recordini? vour Notice of Commencement. Signat re of Owner/ Agent/ Lessee Signature of Contractor/License Holder STATOF FLOR14A STATE OF FLORI A COLITY OF COUNTY OF The fo' o ng instrum-e-�t� was acknowledge fore me The for gpp�I tg instrument was acknowledge efore me this � y of—t�6•�� 20 Nby this�Tgy of ::ft ® 1.,0 201 by (Name of person acknowledging) (Name of person acknowledging) of Notary Public- State of Florida Personally Known OR Produced Identification Type o Ildentification roduced Commssion No. rd HEATHER EDWARDSON MY COMMISSION # GG 215165 EXPIRES: May 21, 2022 07/15/2014 ���Maly Undlmflters (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. MY COMMISSION # GG 215105 EXPIRES: May 21, 2022 Bonded Thra Notary Pubk Underwriters REVI WS FRONT ZONING SUPERVISOR PLA VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVI REVIEW REVIEW REVIEW DATE ' COMP _ETE INITIA ���