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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO,BE ACCEPTED W17 F . • JJ Date: Permit Num d / b' J �.. 'CANNA ES StLU�B �®un,JRECEIVE®. . Building Permit Applicatio BAN 16 2019 Planning and Development Services Pe rrrl ittl fl Building and Code Regulation Division ' "' g menti. 2300 Virginia Avenue, Fort Pierce FL 34982 ' St. Lucie C , FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial esl PERMIT APPLICATION FOR: Roof - -� PROPOSED IMPROVEMENT LOCATION: Address: 6142SPANISH LAKES BLVD. FT. PIERCE, FL 34951 , . Legal Description: 06107'3439 SPANISH LAKES FAIRWAYS - Property Tax ID #: 1306-111-0001-000-0 Lot No. Site Plan Name: Block No. Project Name: .Setbacks Front' Back:"- Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: III REMOVE EXISTING ROOF & REPLACE ANY ROT INSTALL ASTM-226 30# UNDERLAYMENT I v b INSTALL 26 GA METAL ROOF SYSTEM a A^ CONSTRUCTION INFORMATION: III MULIMUua+ wu+n w U12JR21 lUl neu unuer LIM peIrnn— cnecrc all apply: ❑HVAC Gas Tank Gas Piping Shutters Q Windows/Doors Electric O Plumbing "OSpririklers 0Generator Roof Total Sq. Ft of Construction: 1,700 Sc Ft. of First Floor: Cost of Construction: $.8,100 Utilities: LjSewer Septic I Building Height:' OWNER/LESSEE: CONTRACTOR: .Name CLAUDE & DORIS HIGGINS / WYNNE BUILDING CORP. - Name: 'JOE BAKER Address 6153SPANISH LAREB BLVD./12804 SW 122ND AVE j • Company, H J _ .., KE`ROOFINC+ & REPAIRS City.:, Fl PIERCE/MIAMI State: FL r34951/33186: :Zip Cotle: _ Fax• Phone No. 772-828-3140 " Adr�ress;`z699 NW i6TH BLVD. C)KEECHOBEE`;` r FL City_ ' State:_ 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 CONSTRUCTFbN LIEN LAW INFORMATION: DESIGNER/ENGINEER: ' Not Applicable MORTGAGE COMPANY: IZNot Applicable Name Name: Address:) !- Address: City: State: City: State:' Zip: ,;r,; ,Phone: ..Zip:- Phone: _..,. FEE SIMPLE TJTLE,HOLDER: Not Applicable__ _BONDING COMPANY: } Not Applicable Name., ' 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 1411, 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 concurrencyreview: room additions, r 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 j6b3ite before the first inspection. If you intend to obtain financing,.consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder STATE OF FLOR DA 1 STATE OF FLO' R* 1? COUNTY OF U. eC�n �G� P P COUNTY OF 6 :1 6e_P The forgoin,& instrument was acknowledged hefore me this oz yof �ccn e� 20Inby �o� r (Name of person acknowledging) Giiyr�Tiliri� Personally Known Y�,_ OR Produced Identification Type of Identification'Produced Commission No. Revised 07/15/2014 The foS of iristru ent was acknowledg d before me, this oy of �t h rLc/a�� 20 by (Name ofiperson acknowledging) • , ' Y` • (Signature of Nota Pub c- State of Florida ) Personally Known OR Produced Identification t Type of Identification Produced REVIEWS FRONT, • ZONING SUPERVISOR PLANS VEGETATION SEATURTLE. MANGROVE COUNTER REVIEW REVIEW REVIEW •' - REVIEW' 'REVIEW' ' REVIEW DATE COMPLETE INITIALS „ .,