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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL A Date INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: _11©40 � SCANNED RE,GEIVED BY i4. AUG ].'� 1U19 Building Permit Application ,StLilciec®ct��t(n9oepa�ment Plann g and Development Services Per St.Luoie County Suildi g and Code Regulation Division 2300 1 irginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxxxxxx PERIIlIT APPLICATION FOR: Roof PRO',, S.ED iiVIRROVEMENTLOCATION Addre {s: 5 ECUADOR WAY, FT. PIERCE, FL 34951 Legal Prope Site PI Proiec D'Et ption: 134 39 - SPANISH LAKES COUNTRY CLUB VILLAGE v Tax I D #: 1301-111-0001-000-5 i Name: Lot No. Block No. Name: <s Front Back: Right Side: Left Side: LED DESCRIPTION OF 1NORK: WE EXISTING ROOF & REPLACE ANY ROT 2 l LE ALL ASTM-226 30# UNDERLAYMENT J ALL 26 GA METAL ROOF SYSTEM C off-�A A CON TRUCTIOIV INF,ORMATIO,N A dit na wor to e e orme under this permit — c ec a apply: 71 F'i Total Cost VAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors lectric 0 Plumbing Sprinklers El Generator Roof I. Ft of Construction: 1,500 Sq. of First Floor: Construction: $ 6,800 Utilities: 0Sewer Septic Building Height:_ OW `R/LESSEE... :..; CONTRACTOR: Nam Addr City: Zip Phone E-M Fill ir from Wynne Building Corp / James Miller Name: JOE BAKER ss:12804 SW 122nd Ave. / 5 ECUADOR WAY Company: BIG LAKE ROOFING & REPAIRS ,Miami / Ft. Pierce State: FL bde: 33186 / 34951 Fax: No. 610-417-1402 Address: 2699 NW 16TH BLVD. City: OKEECHOBEE State: FL Zip Code: 34972 Fax: 863-763-7662 Phone No. 863-763-7663 lil: fee simple Title Holder on next page (if different the Owner listed above) E-Mail: BIGLAKEROOFING@YAHOO.COM State or County License: CCC046939 If vald;e of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPR'EMENTALCONSTRU,CTION LIEN LAW INFORMATION:,,. DESIG Name Addre City: Zip: ER/ENGINEER: Not Applicable �s: MORTGAGE COMPANY: Not Applicable Name: Address: i State: Phone: I City: State: Zip: Phone: FEE SIMPLE Name Addre City: Zip: 11 TITLE HOLDER: I Not Applicable s: BONDING COMPANY: Not Applicable Name: Address: City: I Phone: Zip: Phone: that no work or installation has commenced prior to the issuance of a permit. St. Luci County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which i in con lict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structu ie. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In cons 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 folwing building permit applications are exempt from undergoing a full concurrency review: room additions, access �r structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARDING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for impmTements to your property. A Notice of Commencement must be recorded and posted on the jobsite befor I the first inspection. If you intend to obtain financing, consult with lender or an attorney before com �ancinE work or reLordina vour Notice of Commencement. of Owner/ Agent/ Lessee Signature of Contractor/License Holder STATE OF FLORA _����� I COUNTY OF STATE OF 0� -� COU�JTY OF J( P The Fg '�n,g instr t was acknowledg �fore me thi d y of 20� ck (Namol of person acknowledging) L _'_' -9 C, � re of Notary Puolic- State of Florida ) Personally Known � OR Produced Identification Type ,f Identification Produced Com fission No. .."...... HEAij�I TWARDSON MY COMjyjISSIbN # GG 215185 :`;, so EXPIRES: May 21, 2022 07/1 The for o' g instru ent was acknowledg d before me thisHE of 20I $by (Name of person acknowledging) (Signature of Notary Pu lic- State of Florida ) Personally Known OR Produced Identification Type of Identificatio Produced Commission No. MY COMMISSION # GG 215185 un REV EWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DAT CO M P LETE INITII LS I