HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Li 1 \d� \o\ SCANNED Permit Number:
BY
r, St. Lucie County RECEIVED
Building Permit Applicatio APR 1 0
Planning and Development Services 2 0 19
Building and Code Regulation Division ST. Lucie County, permitting
2300 Virginia Avenue, Fort Pierce FL 34982 --
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xXXXXXXx
PERMIT APPLICATION FOR: Roof - 1r,owle
PROPOSED IMPROVEMENT LOCATION:
Address: 91 LAGOS DEL NORTE FT. PIERCE, FL 34951
Legal Description: 134 39 - SPANISH LAKES COUNTRY CLUB VILLAGE
PropertyTax ID #: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT �( y�
INSTALL S/A H.T. UNDERLAYMENT l� LE
INSTALL 26 GA METAL ROOF SYSTEM OVER 2X4 BATTEN SYSTEM
tip
CONSTRUCTIONINFORMATION:
Itlona wor to e e orme under tispermit—c ec a apply:
❑HVAC �GasTank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric El Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 2.300 S Ft. of First Floor:
Cost of Construction: $ 10,350 Utilities:Sewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RICHARD BEAULIEU
Name: JOE BAKER
Address:91 LAGOS DEL NORTE
Company: BIG LAKE ROOFING & REPAIRS
City: FT. PIERCE State: FL
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34951 Fax:
Phone No. 772-595-2996
Zip Code: 34972 Fax: 863-763-7662
E-Mail:
Phone No. 863-763-7663
Fill in fee simple Title Holder on next page (if different
E-Mail: BIGLAKEROOFING@YAHOO.COM
State or County License: CCCO46939
from the Owner listed above)
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: _
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY:
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Applicable
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 can 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 Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID �^ -
COUNTY OF b 1� eeC -�� COUNTY OF t1 �C J
The forggPginstrument edged before me I The fgf instru eni was acknowledg I before me
this a ofAV 20' M b this day of c 20 ,by
�LZ 2" - J`
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known 4-4—OR Produced Identification
Type of Identification Produced
Commission No.
MY COMMISSION # GG 215185
Bonded
Revised 07/15/2014
(Signature of Notary Public- o�
Personally Known ' OR Produced Identification
Type of Identificatio Produced
No. SON
�',`_ MY COMMISSION# GG 215185
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