HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ
ALL
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `Ito
JPermit Number: f - Ole 0,
RECEIVED
Building Permit Application OCT '0 91018
;W Department
Planning and Development Services Permi 9
Building and Code Regulation Division St. Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION: ,"„ . �N/i�
Add
,«. 7134 Hawks View Trail
Description: Hawks View at The Reserve Lot 10
Property Tax ID #: 3322-615-0016-000-1 Lot No.10
Site iPlan Name: Block No.
Protect Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION' OF _WORK:
Tile i ear off, renail plywood, apply 30# felt and TU Max self adhering the underlayment. Install Boral
Plantation flat tile with two galvanized screws per tile.
CONSTRUCTIONINFORMATION: ,
Additional work to orme under this permit - check a app y:
EIHVAC r!GasTank ❑Gas Piping _ Shutters Q Windows/Doors
FlElectric 0 Plumbing 11 Sprinklers ElGenerator 11 Roof Roof pitch
Tot I Sq. Ft of Construction: 4400 S . Ft. of First Floor:
Cost of Construction: $ 31,000.00 Utilities. SewerEl Septic Building Height: 1
OWNER/LESSEE:...
CONTRACTOR:
Nam' e Stuart Bollinger
Name: David Packard
Company: Packard Roofing & Waterproofing, Inc.
Address: 7134 Hawks View Trail
Cityl: Port St. Lucie, State:FL
Address: 2182 NW Reserve Park Trace
Zip Code: 34986 Fax:
City: Port St. Lucie State: FL
Phone No.860-559-5691
Zip Code: 34986 Fax: 772-468-9978
E-Mail:
Phone No. 772-468-3723
E-Mail: ssmith@packardroofing.com
Fill in
fee simple Title Holder on next page ( if different
from
the Owner listed above)
State or County License: CCCA17517
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Ad d ress: 7134 Hawks View Trail
City: State:
Zip: Phone
E SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip: _
Phone:
Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Llucie 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
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration 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,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING 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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of Corffractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF tycG 10— COUNTY OF . Lyc c`e
The fo Ing instrument was acknowledged before me
this 1day of ('COS 201by
Name of persgxmaking statement
Personally Known V OR Produced Identification
Type of Identification
Produced
(Signatur
•o<iTaP�B�.; STEPHANIE P. SMITH
Commissi
r : NotaryPublic-StateofFl a
i n # GG 139524
o`,,•' My Comm. Expires Sep2,2021
Bonded through National NotaryAssn.
The forgoing instrument was acknowledged before me
this$ day of OC*,43e/ , 20kf by
Name of person making statement
Personally Known `� OR Produced Identification
Type of Identification
Produced
� y\
(Signature of Not ,,
,.•'t;.ay P� ia STEPHANIE P. SMITH
_ _�� = Notary Public -5���o� �orida
Commission No.' =. • ommissionA 9424
My Comm. Expires Sep 2, 2021
��OF FI.�.�:•
Bonded through National NotaryAssn,
REVIEWS FRONT ZONING SUPERVISOR PLANS I VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17