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BUILDING PERMIT APPLICATION
f ALL I PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Da le: Permit Number: Building_PermitApplication BY ing and Development Services ng and Code Regulation Division Virginia Avenue, Fort Pierce FL 34982 ie: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xXXXXXXx PE MIT APPLICATION FOR: Roof P,R , ED IMPROVEMENT LOCATION Addr ss: 561 NATALIE DR, PORT ST. LUCIE, FL 34952. Legal escription: LA BUONA VITA COOPERATIVE UNIT/LOT 32 (OR 1398-1724) Prop y Tax ID #: 3426-664-0032-000-0 Lot No. Site Pan Name: Block No. Proje t Name: Setb Icks Front Back: Right Side: Left Side: DEl I ILED DESCRIPTION°OF 1NORK RE. �IOVE EXISTING ROOF & REPLACE ANY ROT D CJ l INSI, LL ASTM-226 30# UNDERLAYMENT INSI LL 26 GA METAL ROOF SYSTEM 4 CON TRU.CTION INFORMATION ; Additionalwork to be nertormed under this permit— check a app y: r VAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors L ❑ lectric ❑ Plumbing ❑Sprinklers E]Generator Roof Total Ft of Construction: 1,300 S . Ft. of First Floor: Cost o Construction: $ 6,100 Utilities: LJsewer ❑Septic Building Height: OW 4ER/LESS,EE ,. CONTRACTOR: „ .. Name ARIANN SCHUPPMAN Name: JOE BAKER Company: BIG LAKE ROOFING & REPAIRS Address: 2699 NW 16TH BLVD. Addref�s: 561 NATALIE DR City: PORT ST. LUCIE State: FL Zip Co 1 e: 34952 Fax: Phone o. 772-342-2608 City: OKEECHOBEE State: FL Zip Code: 34972 Fax: 863-763-7662 Phone No. 863-763-7663 E-Mai Fill in fee from ti 11 simple Title Holder on next page ( if different e Owner listed above) 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. SUI3{PLE'MENTAL CONSTRUCTION LIEN LAW 1 rORMATION: . DE11i GNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Na: Name: Add ess: Address: City State: City: State: Zip: Phone: Zip: Phone: FEE IMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Narr 6• Name: Address: Address: City: I City: Zip: Phone: Zip: Phone: I cert fy that no work or installation has commenced prior to the issuance of a permit. St. Lu ie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structre. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In cor �ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in acc:I rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The f Ilowing building permit applications are exempt from undergoing a full concurrency review: room additions, acces i ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WAIR���IING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for impriivements to your property. A Notice of Commencement must be recorded and posted on the jobsite befo �� the first inspection. If you intend to obtain financing, consult with lender or an attorney before comr I encing work or recording our Notice of Commencement. Signs re of Owner/ Agent/ Lessee Signature of Contractor/License Holder STA � OF FLORIDATATE OF FLORIDkZCkoLee COU I TY OF P-e ( -� COUNTY OF © The r'n instru ent was acknowledge efore me The f rgoi g instr m t was acknowledge before me this 'day of 20 ,�,by this�by of 20' by person ackn (Signaure of Notary Public- State of Florida ) Perso �Ily Known OR Produced Identification Type o Identification„Produced n No. H EDWARDSON;' APP MY COMMISSION # GG 215185 EXPIRES. May 21,2022 BorEBd � TWU NPUM Undenvniers 07/ 15/201 "' �C) ,-- P a (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. MY COMMISSION # GG 2151W UPIRM may Bonded Thiu Noway Public Undersea;' ;:! REVI WS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVI REVIEW REVIEW REVIEW DATE COMP ETE INITIA �t�