HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICTLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I I I � tG Permit Number:
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof I-d III
PROPOSED IMPROVEMENT'LOCATION: �II
Address: 9930, 9934, 9938, 9942, 9946, 9950, 9954, 9958 Perfect Drive )t d4 I
Legal Description: Golf Villas
Property Tax ID #: 3327-702-0000-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side:
LeftSide:
Lot No.
Block No.
Remove existing roof covering: Renail plywood & apply #30 felt underlayment. Apply Polyglass TU
Max self adhering underlayment. Install galvanized valley metal & flashing. Install concrete tile. using
two screws per tile.
CONSTRUCTION INFORMATION:
Additional work to e orme under
❑HVAC n Gas Tank
tispermit—checka
[]Gas Piping
apply:
Shutters
❑ Windows/Doors
❑Electric OPlumbing
[]Sprinklers
❑Generator
Roof ❑ Roof pitch
Total Sq. Ft of Construction: 8800
Sq.
Ft. of First Floor:
Cost of Construction: $ 57,860
Utilities:
OSevver ❑ Septic
Building Height: 2
OWNER/LESSEE:
CONTRACTOR:
Name Golf Villas Condo. Association, Inc.
Name. David Packard
Address:772 Cortaro Dr. Suite B
Company: Packard Roofing & Waterproofing, Inc.
City: Ruskin State:FL
Zip Code: 33573 Fax:
Phone No. I�
Address: 2182 NW Reserve Park Trace
City: Port St. Lucie State: FL
Zip Cade: 34986 Fax: 772-468-9978
Phone No. 772 468-3723
E-Mail: LQ 4 A
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: CCCA17517
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
xx Not
Name:
City:
Zip:.
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City: _
Zip:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
ZIP: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
xx Not 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 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
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO DA STATE OF FLORIDA
COUNTY OF HOiriCACA I COUNTY OF ,Sr. % a e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this, day of 20 1Zby this 5!t day of scT 20 9-7 by
Dc,,Jir1 Pac,Kay-d 1-, did -TauCa. -J
(Name of person acknowledging) (Name of person acknowledging)
071 L 0 1 p
(Signature of Notary Public- State of Florida) (Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification Personally Known
Type of Identification Produced I Type of Identifical
✓ OR Produced Identification
•"'a�P'• STEPHANIE P. SMIT
Commission No.FFOSOy7 , Va • (Sea fission No. rFOSO y7 ; o" °•;§e�d
�"" �STEPHANIE P. SMIT ' • _ tary Public - State o1
' • ,�? Notary Public -Slat •' My Comm. Expires Sep 2
,1i m. xplies Se •,,,,x r, :••• m ssion M.FF 050�
Revised 07/15l2014
°'.}„o�i,q •••' Commission 0 FF 05047017 ^,,`• B0^��ission 0aFF Natal
Sorgty TNoupb National Nnw e _
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
1-r26 1
COMPLETE
INITIALS
6146