HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO
// MUST BE COMPLIA ED FOR APPLICATION TO BE ACCEPTED
-Date: - - - - 1- / (p• ) -//CPermit Numt
Building Permit Applicati
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
JAN 16 2019
Permitting Department
St: LUde Coll
a��x �rl�l xx�iciYr FL
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 184 CALLE DE LAGOS FT. PIERCE, FL 34951 SCANNED
Legal Description: 1 34 39 SPANISH LAKES COUNTRY CLUB VILLAGE BY
PropertyTax ID #: 1301-111-0001-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
L DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT 3
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION INFORMATION: III
L_IHVAC L=1Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 1,000
Cost of Construction: $ 5,500
Piping Shutters Windows/Doors
nklers 11 Generator Z Roof
S Ft. of First Floor:
Utilitiest Sewer Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SERGE LALONDE I WYNNE BUILDING CORP.
Name: JOE BAKER
Address: 184 CALLE DE LAGOS 112804 SW 122ND AVE.
Company: BIG LAKE ROOFING & REPAIRS
City: FT. PIERCE/MIAMI State: FL
Zip Code: 34951/33186 Fax:
Phone No. 613-699-3533
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.
S
SUPPLEMENTAL CONSTRUCTI IEN LAWINFORMATION:
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
commencing work or recording vour Notice of Commencement.
.ure of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLO I A STATE OF FLORIDA
COUNTY OF Q eC" ( D COUNTY OF 0 ",o�b,a
The f ggg'y�g instrument was acknowledg efore me
this 7-"'day of , T a I.. 20M by
Joe OL��
(Name of person acknowledging)
Personally Known _�_/ OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
The forgoirQ�r instru t was acknowledg efore me
thisav�%y of oun . 20 by
(Name of person acknowledging)
(Signature of Notary Public- State o lorida-T——
Personally Known OR Produced Identification
Type of Identification Produced
No.
MY COMMISSION #
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