HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL
1,
CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
SCANNED
II Building Permit Application BY
Plan I ing and Development Services fit. Lucie County
Bull ng and Code Regulation Division
230 1 Virginia Avenue, Fort Pierce F134982
Pho e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxxxxxx
PER
IT APPLICATION FOR: Roof
PRO
' OSED IMPROVEMENT LOCATION'
Addr,
Legal
5 JOYA, FT. PIERCE, FL 34951
• 134 39 - SPANISH LAKES COUNTRY CLUB VILLAGE
Prop Tax ID #: 1301-111-0001-000-5 Lot No.
Site P an Name: Block No.
Proje Name:
SetbE ks Front Back: Right Side: Left Side:
DET ILEDDES°CRI;PTIO.N-OF WORK °
REIN OVE EXISTING ROOF & REPLACE ANY ROT `
INS 'ALL ASTM-226 30# UNDERLAYMENT / ✓
INS TALL 26 GA METAL ROOF SYSTEM14
,CQN TRUCTION INFORMATION -
Add—itona wor to orme under this permit — c eC a apply:
HVAC 0 Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 1:1 Plumbing Sprinklers Generator 17 Roof
Total q. Ft of Construction: 6 C}(0 S . Ft. of First Floor:
n �
Cost Construction: $ 111?0 Utilities: Sewer ElSeptic Building Height:
O!N
' ER/LESSEE..
CONTRACTOR:
Nam
Addr
City:
Zip C
Phon
E-M
Fill in'1
from
Wynne Building Corp / Greg Klein
Name: JOE BAKER
s:12804 SW 122nd Ave. / 5 Joya
Company: BIG LAKE ROOFING & REPAIRS
I,Aiami / Ft. Pierce State: FL
de: 33186 / 34951 Fax:
' No. 772-834-1019
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
I:
ee simple Title Holder on next page ( if different
he Owner listed above)
E-Mail: BIGLAKEROOFING@YAHOO.COM
State or County License: CCC046939
If valu§ of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP.
fLEIVIENTAL CONSTRUCTION` LIEN LAIN fNFORMATION:"
DESIGNER/ENGINEER:
Nam
Addr
City:
Zip:
Not Applicable
:
MORTGAGE COMPANY: Not Applicable
Name:
ss:
Address:
State:
Phone:
City: State:
Zip: Phone:
FEE S
Nam
Addr
City:
Zip:
MPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
ss:
Address:
City:
11 Phone:
Zip: Phone:
that no work or installation has commenced prior to the issuance of a permit.
St. Luc 2 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 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 acc dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fo owing building permit applications are exempt from undergoing a full concurrency review: room additions,
access iry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR JING 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
befor' the first inspection. If you intend to obtain financing, consult with lender or an attorney before
com i' encina work or recording vour Notice of Commencement.
t
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATP OF FLORIDASTATE OF FLORIDA
COU TY OF Dy" COUNTY OF 11
The f �gg�i�y�g instrume t was acknowledg efore me
this day of_ I & a . 20 ;by
person acknowledging)
(Sign ure of Notary Pub 'c- State of Florida )
Personally Known OR Produced Identification
Type Identification Produced
Comm'Ission No.
07/ 15/20
HEAjiglMIEDWARDSON
MY COMMISSION # GG 215185
horded Thru Notary Public Underwriters
The forgoing instru was acknowledge fore me
this d"y f 20y
(Name-ofperson acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
MY COMMISSION # GG 215185
EXPIRES: May 21.2022
Bonded TMu Notm Public Underwriters
REVII
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATEi
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COMPLETE
INITIA