HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8GANNED Permit Number:
_%W-19 ME— St. Lucie Countv NOV 2 1
Building Permit Application
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 Residential
I PERMIT APPLICATION FOR: Roof III
I PROPOSED IMPROVEMENT LOCATION: III
Address: 3406 DALE PL FT PIERCE FL 34947
Legal Description: HOME ACRES -UNIT 2- W 120 FT OF E300 FT OF TRACT 35-LESS S 20 FT-(0.36 AC) (OR 3868-2047)
Property Tax I D #: 2408-604-0013-000-6
Site Plan Name:
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: - - . I
TEAR OFF EXISTING METAL ROOF AND INSTALL NEW SHINGLE ROOF (OUTBUILDING)
/f -o ve C 12--., 0 0 /-y
CO TRUCTION INFORMATION:
]on a I worK to o erformed under this permit —check all apply:
0HVAC Gas Tank E]Gas Piping In Shutters Windows/Doors
0 Electric Plumbing []Sprinklers ElGenerator W1 Roof WA Roof pitch
Total Sq. Ft of Construction: 1500
Cost of Construction:$ 5100-00
S Ft of First Floor:
Utilities'll Sewer E]Septic
Building Height: 1 STORY
OWNERAESSEE:
CONTRACTOR:
Name CARR INSVESTMENT PROPERTIES, INC.
Name: CHARLES RICHARDS
Address: 521 S ANDREWS AVE #7
Company: ALL AREA ROOFING
City: FORT LAUDERDALE State: FL
Zip Code: 33301 Fax:
Phone No. 954-214-7948
Address: 3921 S US HWY I
City: FT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-6600
Phone No. 772-464-6800
E-Mail:
Fill in fee simple Title Holder an next page ( if different
from the Owner listed above)
E-Mail: JENNIFER@ALLAREAROOFING.COM
State or County License: CCC1326177
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGI NEER: Not Applicable
Name:
MORTGAGE COMPANY: 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 Coun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conlylict with any applicable Home Owners Association rules, bylaws or a ns 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
Agent for Owner
STATE OF FLORIDA
COUNTYOFSTLUCIE
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledgeq Pefore me The forgoing instrument was acknowledged before me
this 1/ dayofA/Ovf , 20 L(Lby I this // day of /1/� Vel7LAtW , 20 / & by
(Name o person acknowledging)
(Sii—nature of Notary Public- State of Florida
Personally Known V_1__0R Produced Identification
Type of Identification Produced
ez
Commission No. .0<2, FArrH MASON
��SWBOMMISSIONPGOOMS
Revised 07/15/2014
(Name of person acknowledging
(Signature of Notary Public- State of Florida
Personally Known V_� OR Produced Identification
Type of Identification Produced
MkSON
Commission No.
W EXPIRM-Jane2a,2M
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