HomeMy WebLinkAboutBUILDING PERMIT APPLICATION. ".
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 Y. 0
Date: I' )(a. 10/ Permit Num 'RECEIVED -
Building Permit Applicatio JAN 16 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count
2300 Virginia Avenue, Fort Pierce FL 34982 yr F L
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PROPOSEDIMPROVEMENT LOCATION: SCAP4NEB_
Address: 7 VISTA DE LAGUNA FT. PIERCE, FL 34951 Ry
Legal Description:
134 39 - SPANISH LAKES CLUB VILLAGE St. Lucie County
Property Tax ID #: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT 3 M d 13I L-6
INSTALL ASTM-226 30# UNDERLAYMEt %off
INSTALL 26 GA METAL ROOF SYSTEM Ho M�
CONSTRUCTION INFORMATION:
Itlona wor to e e orme under tispermit—check all apply:
[1HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric Plumbing Sprinklers Generator g Roof
Total Sq. Ft of Construction: 1,550 Sq. Ft. of First Floor:
Cost of Construction: $ 6,850 Utilities: SewerEl Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DONNA INGIME / WYNNE BUILDING CORP
Name: JOE BAKER
Address: 7 VISTA DE LAGUNA / 12804 SW 122ND AVE.
Company: BIG LAKE ROOFING & REPAIRS
City: FT. PIERCE / MIAMI State: FL
Zip Code: 34951 / 33186 Fax:
Phone No. 772-464-2330
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 CONSTRUCT ON LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
J \
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
commencine work or recordine vour Notice of Commencement.
Signature of Owne gent/ Lessee
Signature of Contractor/License Holder
STATE OF FLTQA
STATE OF FLOR DA
COUNTY OF &C a
COUNTY(
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(Name of person acknowledging)
(Name of person acknowledging) Q
(Signature of Notary P blic- State of Florida )
77
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identificatio P duced
Commission No. y"'.'.'.'... tiHFA WARDSON
Commission ... RpR}1EREDW
MY COMMISSION # GG 215785 -
/�°'�'; My COMMISSION # GG 215185
Revised
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