HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ! yr) 1 (0 6UANNED Permit Number:
F
BY RECEIVED
St. Lucie Ii
Building PermCAOyication DEc 2 7 2016
Planning and Development Services
Building and Code Regulation Division PER.MI"NG
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
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PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 9962, 9966, 9970, 9974, 9978, 9982,9986 & 9990 Perfect Dr.
Legal Description: Golf Villas - Units 1-8
Property Tax ID #: See Attachment
Site Plan Name:
Lot No.
Block No.
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: 11
Remove existing roof, renail plywood and apply 30# felt. Apply TU Max self adhering underlayment.
Install galvanized valley metal and flashing. Install concrete tile using two screws per tile.
I CONSTRUCTION INFORMATION: III
IJHVAC Gas Tank E]Gas Piping
Electric Plumbing []Sprinklers
Total Sq. Ft of Construction:
Cost of Construction:$ �')719&0-op
Shutters E]Windows/Doors
Generator R] Roof Roof pitch
S' Ft of First Floor:
Utilities: Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Golf Villas I
Name: David Packard
Address: 9824 Perfect Dr.
Company: Packard Roofing & Waterproofing, Inc.
City: Port St Lucie State:FL
Zip Code: 34986 Fax:
Phone No.772-215-3444
-
Address- 2182 NW Reserve Park Trace
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: 772-468-9978
Phone No. 772-468-3723
E-Mail:—
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: ssmith@packardroofing.com
State or County License: 16688
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
L)ESIGNER/ENGINEER: X Not Applicable
MO RTGAGE COMPANY:
X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
—State:
Zip: Phone:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
X NotApplicable
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 Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 17ict with any applicable Home Owners Association rules, bylaws or and covenants that ma estrict or prohibit such
ic
structure. Please consult with your Home Owners Association and review your deed for any restrictions Yhi h may apply.
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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
S
Sign-STURre of Owner/Lessee/contractor as Agent for Owner Signature of Contractor/Li-ce—n-s—eHolder
STATE OF FLORIDA
COUNTYOF--
The forl;oing instrument was acknowledged before me
thisJ#W dayof AeXZ�41de.,,� 20 Lfe by
STATE OF FLORIDA
COUNTYOF --
The forgoing instrument was acknowledged before me
this 22nd day of D�.mW
20 1& by
Dwid ft� -- DaM Pa*ard
(Name of person acknowledging) (Name of person acknowledging)
I gk:A���
(Signature of Notary Public- State of Florida I (Signature of Notary Public- State of Florida
Personally Known - OR Produced Identification
Type of Identification roduced
Commission No. FFO 75 S NIE P. SMITH
c _ State of Florida
My Comm. Expires Sop 2,2017
Revised
Personally Known x OR Produced Identification
Type of Identification Prod
'PH1111 I SMITH
FF05NTS
Commission No. FF05NTS
k��)Pub State of F1
s MY conni. Expires Sep 2.
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DATE
07--c?3
COMPLETE
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