HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
Date: 31�1_\c\_ Permit Number:
_ MAR 0 8 2019
Building -Permit Application
Planning and Development Services ST. Lucie 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 _ w.� �d� SCANNED III
�. PROPOSED IMPROVEMENT LOCATION:
Address: 3 DANZAR FT. PIERCE, FL 34951 —`-
Legal Description: 134 39 - SPANISH LAKES COUNTRY CLUB VILLAGE
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: II
REMOVE EXISTING ROOF & REPLACE ANY ROT 3/ 1Ab(0�
INSTALL S/A HT UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM o�v�
CONSTRUCTION INFORMATION:
itiona war to e e orme under t—checkispermit a apply: Ll
❑HVAC LiGasTank OGasPiping _Shutters ❑Windows/Doors
IElectric 0 Plumbing Sprinklers E Generator 171 Roof
Total Sq. Ft of Construction: 1,350
Cost of Construction: $ 6,750
S Ft. of First Floor: _
Utilities:]Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BLDG. CORP./DIANE CONGDEN
Name: JOE BAKER
Address:12804 SW 122ND AVE./3 DANZAR
Company: BIG LAKE ROOFING & REPAIRS
City: MIAMI/FT. PIERCE State: FL
Zip Code: 33186/34951 Fax:
Phone No.315-378-6505
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 CONSTRUCTION LIEN LAW INFORMATION: III
Name:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: _)S[VotApplicable
Name:
Address:
City: State:
Zip: _Phone:
BONDING COMPANY: of Applicable
Name:
Address:
City:
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 recordingyourNotice of Commencement. i
Signature of Owner/Agent/ Lessee Signature of Contractor/Licen,,sfeHolde{r ' ,,
STATE OF FLORID��11 ( - , STATE OF FLORA
COUNTY OF �C PfQ(iw\Y �/ p COUNTY OF ff
The fgrg4jog instrument was acknowledged before me The for 2mg instrument was acknowledge before me
this I dayof /V,cit—(�y .20Lby this�,�dayof AAerr-6,% .20_f1by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public -State of Florida) (Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07/15/2014
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MY COMMISS# GG 2151
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VEGETATION
SEA TURTLE
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COUNTER
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REVIEW
REVIEW
DATE
COMPLETE
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INITIALS