HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA LE INFP NVE BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I SCANNED Permit Number:
s.; By
St. Lucie Count,
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 x Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 9882. 9886, 9894, 9898, 9902, 9906, 9910, 9914, 9918, 9922, 9926, 9990 Perfect Drive
Legal Description: Golf Villas
Property Tax ID #: 3327-702-0000-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
11 DETAILED DESCRIPTION OF WORK: -11
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.
I CONSTRUCTION INFORMATION: III
HVAC
❑
Gas Tank
❑Gas Piping
❑
Shutters
❑
Windows/Doors
Electric
❑
Plumbing
[]Sprinklers
❑
Generator
R1
Roof
NRoof
pitch
Total Sq. Ft of Construction: 13100
Cost of Construction: $ 85,050.00
S Ft. of First Floor: _
Utilities:12 Sewer ❑ Septic
Building Height: P
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.
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: CCCA77517
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xX Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: . Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: xx 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 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
CX� oQ�=Q 5
Sign-atare oo"Uwner essee/Contractor as Agent for Owner Signature of Contr icense Holder
STATE OF FLORIDA
COUNTY OF --
The forgoing instrument was acknowledged before me
this 54�dayof,-ra..._. W5( 20r2by
STATE OF FLORIDA
COUNTY OF --
The forgoing instrument was acknowledged before me
this�dayof ,Tam✓w 20 Eby
D.1d ftc rcf 1 David Packard
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known �OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Mho
FF0504r o°arc'
Commission No. • �• �a;•.,
( hPHANIE P. SMITH
S
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ommission No. �09
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STFr„^jj.. PSMITH
Notary( IJ
•
No ublic - State of Florida
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State of Florida
My Co•�m Expires SE 2, 2017
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My Comm. Expires Se 2, 201
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Commission X FF 050475
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Boruletl TbraughNmaW Nbtar�
Revised 07l15/201
Bonded ThT0L0 National Notary Assn.
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