HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BEnCOMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - to)"f — —--PermitNumin*r�
Building Permit A
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
EC:EIVE®
JAN 16 2019
Permitting Department
St. Lucie County, FL
PERMIT APPLICATION FOR: Roof III
I PROPOSED IMPROVEMENT LOCATION:
Address: 490 NATALIE DR. FT. PIERCE, FL 34952 St. Lucie C011rib,
Legal Description: LA BUONA VITA COOPERATIVE UNIT/LOT 19 (OR 3994-1867)
Property Tax ID #: 3426-664-0019-000-3
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT �a
INSTALL 26 GA METAL ROOF SYSTEM
M,O)e�)LE_
40 ftkE,
I CONSTRUCTION INFORMATION: III
❑HVAC ❑Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 1,600
Cost of Construction: $ 7,050
Piping u Shutters Windows/Doors
nklers n Generator i. i Roof
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name FRANCISCO SANTACRUZ / WYNNE BUILDING CORP.
Address:490 NATALIE DR.112804 SW 122ND AVE.
Name: JOE BAKER
Company: BIG LAKE ROOFING & REPAIRS
City: FT. PIERCE/MIAMI State:FL
Zip Code: 34952/33186 Fax:
Phone No.772-607-2983
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the 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.
SUPPLEMENTAL CONSTRUCTI IEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable -
Name:
-MORTGAGE COMPANY: - Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
-Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie 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
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIpA STATE OF FLORID
COUNTY OFF �/L 4'-_—.a COUNTY OF n C
The fo goin instrum nt was acknowledge( efore me The for of instrument was acknowledg efore me
thismim-1 yof arse• 20,I�by this ay of �20_ 3y
\�J_bjp a CIB-A�
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Put
Personally Known
Type of Identification Prc
Commission No.
Revised 07/15/2014
of Florida ) I (Signature of Notary Public- State of Florida
OR Produced Identification Personally Known _y_ OR Produced Identification
iced Type of Identification Produced
11;A�✓°:,$r,;: HEATHER EDWARDSON III
21, 2022
No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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INITIALS