HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3`�` \� Permit Number:
--- '- -'=-- ' Building Permit Application MAR 0 8 2019
Planning and Development Services _�?• L�+al9 County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXXXXXXX
PERMIT APPLICATION FOR: Roof - M�'Va SCANNED
PROPOSED IMPROVEMENT LOCATION: St. Lucie
Address: 2403 BLOSSOM CT. FT. PIERCE, FL 34982 County
Legal Description: ORANGE BLOSSOM ESTATES-2ND ADDN-2ND PLAT BLK 8 LOT 2 (0.19 AC) (OR 3052-1453)
Property Tax ID #: 2421-609-0023-000-5
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 ROT
INSTALLS _I e"-et -9 (PP 5b $#
INSTALL 26 GA METAL ROOF SYSTEM
INSTALL S/A MOD. BIT. ON CRICKET AREA
CONSTRUCTION INFORMATION:
Additional worK to e efformeicl under this permit —c ec a app y:
0HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers\ Generator L Roof
Total Sq. Ft of Construction: 2,300-SLOPE / 700-FLAT CC S FtFt of First Floor:
Cost of Construction: $ 16,300 Utilities: Sewer Ll Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJESS GAINES
Name: JOE BAKER
Address:2403 BLOSSOM CT.
Company: BIG LAKE ROOFING & REPAIRS
City: FT. PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-519-1975
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: BIGLAKEROOFINGQa YAHOO.COM
State or County License: CCC046939
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION -
DESIGN ER/ENGIN EER: 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 1 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 vaur Notice of Commencement_
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID f a
COUNTY OFy), 0 COUNTY OF D gcln e SDI r
The forgoing instrumentwas ackpowledge before me The forlo�'ng instrument was acknowledge before me
this �Sfdayof !( .. 20,� by this-� tray of � ,20_1 /by
(Name of person acknowledging) V (Name of person acknowledging )
(Signature of Notary Public -State of Florida )
Personally Known \� OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(&gAHER EDWARDSON
MY COMMISSION 9 GG 216
(Signature of Notary Public- State of Florida )
Personally Known K OR Produced Identification
Type of Identification Produced
M
EXPIRES: May 21, 2022
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