HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE"ACCEPTED
Date: .3 �. PermitNulfi
__Building Permit_Appl
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
MAR S 2019
Permitting Department
St. Lucie County, FL
ZPcirlPntial XXXXXXXX
PERMIT APPLICATION FOR: Roof III
Address: 42 IPANEMA WAY FT. PIERCE, FL 34951 SCANNED
Legal Description: 1 34 39 - SPANISH LAKES COUNTRY CLUB VILLAGE BY
St. LUUG*e COUntyOU
PropertyTax 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:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL S/A HT UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM w
CONSTRUCTION INFORMATION: 11
itiona wor to e e orme under tispermit—c ec a apply:
13HVAC 11GasTank E]GasPiping ri _Shutters ��77 Windows/Doors
0 Electric 0 -1 Plumbing Sprinklers LGenerator Z Roof
Total Sq. Ft of Construction: 1,400
Cost of Construction: $ 6,990
S Ft. of First Floor: _
Utilities:0Sewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BLDG. CORP./MITCHELL VINCENT
Name: JOE BAKER
Address:12804 SW 122ND AVE./42 IPANEMA WAY
Company: BIG LAKE ROOFING & REPAIRS
City: MIAMI/FT. PIERCE State: FL
Zip Code: 33186/34951 Fax:
Phone No.413-636-2662
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:
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
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
�—
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID,A , 1
COUNTY OF trj�G Mgr ,Iti 9 F�� p COUNTY OF C� PPC t y-Q Y -P
The f r ing instrument was ack owledge hefore me The forgoing instrument was a nowledg before me
this �ayof�C� 20.0by thisLS dayof !V— 20 qby
(Name of person acknowledging) (Name of person acknowledging)
Personally Known —V— OR Produced Identification
Type of Identification Produced
Commission No. FATHEREDWARD
fAMMISSION # GG
EXPIRES: May 21, i
Revised 07/15/2014
(Signature of Notary Public -State of Florida )
Personally Known —./— OR Produced Identification
Type of Identification Produced
No.
MY COMMISSION # GG
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