HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit NumLPermitting
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Building Permit Applicatio16 2019
Planning and Development Services De artment
Building and Code Regulation Division p2300VirginiaAvenue,FortPierceFL34992 County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Roof III
I PROPOSED IMPROVEMENT LOCATION: - .._ .___. III
Address: 491 LA BUONA VITA DR. FT. PIERCE, FL 34952
Legal Description: LA BUONA VITA COOPERATIVE UNIT/LOT 160 (OR 3007-494) St. Lucie County
Property Tax ID #: 3426-664-0156-000-5
Site Plan Name:
Project Name:
Lot No.
Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROTS /� ry b /2 6 L�
INSTALL ASTM-226 30# UNDERLAYMENT , V ti
INSTALL 26 GA METAL ROOF SYSTEM / a [ ((D ,� n �
CONSTRUCTION INFORMATION:
i iona wor to e e orme under t is permit— c ec a apply:
in
❑HVAC 0GasTank ❑Gas Piping _Shutters Windows/Doors
0Electric El Plumbing Sprinklers 0Generator Roof
Total Sq. Ft of Construction: 1,600
Cost of Construction: $ 7,600
S Ft. of First Floor: _
Utilities:Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name THOMAS DAVIS / WYNNE BUILDING CORP.
Name: JOE BAKER
Address:491 LA BUONA VITA DR. /12804 SW 122ND AVE.
City: FT. PIERCE/MIAMI State: FL
Zip Code: 34952133186 Fax:
Phone No. 772-370-6790
Company: BIG LAKE ROOFING & REPAIRS
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:
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:
of Applicable
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. i
Signature of Owner/Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA �11 �,, �P STATE OF FLOfj�A �
COUNTY OF D 14 t t GV� �1� COUNTY OF �li`�
The forgo'gig instrument was acknowledged before me The forg g; ns ru ent was acknowledggd before me
thi Ida of `�a v� . 1 th�i -�- a of 201�/1 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature
Personally Known /-
Type of Identification
Commission No.
Revised 07/15/201
- State`of Florida ) (Signature of Notary /Puubblic- State of Floiida-)—� �
v
OR Produced Identification Personally Known \ OR Produced Identification
iced Type of Identification Produced
MY COMMISSION # GG 215185
Commission No.
NEWHER EDWARDSON
My COMMISSION # GG 215165
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