HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date: 3kA— N.ro Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services ST. Lucie County, PerMittln9
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 - meld \ BY III
PROPOSED IMPROVEMENT LOCATION: " " " ---Ill
Address: 14664 AGUILA AVE. FT. PIERCE, FL 34951
Legal Description: 06/07 34 39 - SPANISH LAKES FAIRWAYS
PropertyTax ID #: 1306-111-0001-000-0
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 1_
INSTALL S/A HT UNDERLAYMENT 10
/ / �/!
INSTALL 26 GA METAL ROOF SYSTEM J +o v�e
CONSTRUCTION INFORMATION: Ill
[1HVAC LJ Gas Tank ❑Gas Piping Ushutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1,050 Sq. Ft. of First Floor:
Cost of Construction: $ 6,750 Utilities: Sewer Septic Building Height:_
OW- NER/LESSEE:
CONTRACTOR:
Name WYNNE BLDG. CORP.IDENIS DUFOUR
Name: JOE BAKER
Address:12804 SW 122ND AVE./14664 AGUILA AVE.
Company: BIG LAKE ROOFING & REPAIRS
City: MIAMI/FT. PIERCE State: FL
Zip Code: 33186/34951 Fax:
Phone No. 863-257-8585
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: CCCO46939
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: 1,,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 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.
Signature of Owner/Agent/ Lessee
STATE OF FLORIDA
COUNTY OF O �—P �GG�iy
The forgoing instrument was acltnowledg d before me
this L " ay Of. &(I/) t . 20by
(Name of person acknowledging)
(Signature of Notary Pub ic- State f Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
MYCOMMISSION # GG
Revised 07/15/2014
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 0 �
The forgpmg instrument was ac owledg d before me
this L"iJayof 20te-Y by
(Name of person acknowledging)
(Signat��Not� lick Late of
Personally Known � OR Produced Identification
Type of Identification Produced
No.
(SeJ1PTHEREDWARDSON
W COMMISSION # GG 215'
EXPIRES: Mav 21.2022
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