HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONV
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3`$\� 1 Permit Number:
RECEIVED
Building Permit Application MAR 0 S 2019
Planning and Development Services ST:6dRl@EPNR€yrHarmltt109
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 — me,AMI III
PROPOSED IMPROVEMENT LOCATION: "v o�
Address: 39 SAN LUIS OBISPO 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:
St.
Lot No.
Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT 1n ram,
INSTALL S/A HT UNDERLAYMENT / i' V \06 J-
INSTALL 26 GA METAL ROOF SYSTEM I (6YV--(
I CONSTRUCTION INFORMATION: III
HVAC L_1 Gas Tank UGas Piping
Electric 0 Plumbing []Sprinklers
Total Sq. Ft of Construction: 1,550
Cost of Construction: $ 6,750
Shutters ❑ Windows/Doors
Generator W1 Roof
Sq� Ft_.I of First Floor: _
Utilities. LJ Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BLDG. CORP.NVILLIAM DYDELL
Name: JOE BAKER
Address:12804 SW 122ND AVEJ39 SAN LUIS OBISPO
Company: BIG LAKE ROOFING & REPAIRS
City: MIAMI/FT. PIERCE State; FL
Zip Code: 33186/34951 Fax:
Phone No.330-8723163
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: GCC046939
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU TION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: of Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
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
commencine work or recoidinevour Notice of Commencement.
Signature of Owner/ Agent/ Lessee I Signature of Contractor/License Holder
STATE OF FLORIDA ( �// ��, STATE OF FLORIDA �"" �°
COUNTY OF_4A� Zclw (� COUNTY OF � y eclk r�tp.c.p
The fgrgping instrument was acknowledged before me The forgoing instrument was cknowledg before me
this day of Mxy-[P 20J by this P ay of 20f by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public -State of Florida )
Personally Known
Type of Identificat
Commission No.
Revised 07/15/2014
Produced Identification
E)(PIRES: May 21, 2022
(Signature of Notary Public- State of Florida )
Personally Known � OR Produced Identification
11pe of Identification Produced
No.
(SkI64)HER EDWARDSON
W COMMISSION # GG 215185
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS