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INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
w:;° RECEIVED
•
Building Permit Application AUG 17 2010
Permitting Department
Plan fng and Development Services St. Lucie County
Build'��g and Code Regulation Division
2300IUirginia Avenue, Fort Pierce FL 34982
Pho e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xXXXXXxx
IT APPLICATION FOR: Roof
PRO
,OS.ED I M PROVEM ENT. LOCATION:
Addre
s: 8501 FLORRENCE DR, PORT ST. LUCIE, FL 34952 St, L(J de Cunt/
Legal
escription: LA BUONA VITA COOPERATIVE UNIT/LOT 50 (OR 1508-1833)
Propel
y Tax ID #: 3426-664-0050-000-2 Lot No.
Site P
Proje(
n Name: Block No.
Name:
Setbz
ks Front Back: Right Side: Left Side:
n.,
DET (LED DESCRIRTIO`N' OF`INORK
RE OVE EXISTING ROOF & REPLACE ANY ROT MINS MALL ASTM-226 30# UNDERLAYMENT a
INS ALL 26 GA METAL ROOF SYSTEM
ev\
CO '.§TRUCTION INFORMATION.
Add i onal work to be ertormed under this permit— check all apply:
HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric El Plumbing Sprinklers E Generator 91 Roof
Total q. Ft of Construction: 1,300 S . Ft. of First Floor:
Cost f Construction: $ 6,175 UtilitiestSewer RSeptic Building Height:
I
O
ER/LESSEE' :.
CONTRACTOR: '
Nam
Addr
City:
Zip C,
Phon:'
E-M
Fill i
from
ROBERTJOHNSON
Name: JOE BAKER
Company: BIG LAKE ROOFING & REPAIRS
ss: 8501 FLORRENCE DR
ORT ST. LUCIE State: FL
i de; 34952 Fax:
No. 772-344-7260
Address: 2699, NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
il:
fee simple Title Holder on next page ( if different
the Owner listed above)
E-Mail: BIGLAKEROOFING@YAHOO.COM
State or County License: CCC046939
If valoe of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP
EiVIENTAL CONSTRUCTLQN, LIEN LAW INFORMATION: ;
DESI
NamE
Addr
City:
Zip:
ER/ENGINEER: Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
ss:
Address:
State:
Phone:
City: State:
Zip: Phone:
FEE S
Nam
Addr
City:
Zip:
�WPLE TITLE HOLDER: Not Applicable
t
BONDING COMPANY: Not Applicable
Name:
Address:
6s:
II
City:
I Phone:
Zip: Phone:
I certi ' that no work or installation has commenced prior to the issuance of a permit.
St. Lucil County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structurIe. 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 accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
access ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR �ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr I�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
comniencing work or recording vour Notice of Commencement.
Signat Ire of Owner/Agent/ Lessee Signature of Contractor/License Holder
STATE'- OF FLORIDA _ ' f _ ( STATE OF FLOF� �A
COUF� TY OF COUNTY OF EJ
The f4gqing instrum nt was acknowledged(efore me
this y of (,Lh-P 20' `?4; by
of person acknowl
(Signure of Notary Public- State of Florida )
Perso aIly Known_ OR Produced Identification
Type � Identification Produced
Commlission No.
MY COMMISSION # GG 215185
07/15/20U"�''gi..�. �`—"
The for QQing instrument was acknowledgpSLbefore me
this"21ay of�','`r-g.,,A g , 20Jy by
I!
(Name of person acknowledging)
— ' q�eQ��
(Signature of Not ry Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. 11 1,I AMOR EDWARDSON
MY COMMISSION # GG 215185
Bonded flw Notary PuWk Undofwaters
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