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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a�$� 11 RECEIVED FEB 0 $ 2011 Permit Number: V10a— ,a,-1 • _ _ SCANNED Building Permit Application BY Planning and Development Services St. Lucie rowitt 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 © II PROPOSED IMPROVEMENT LOCATION: - - Address: 9850, 9854, 9858, 9862, 9866, 9870, 9874 Perfect Dr., Building 4 Legal Description: Golf Villas Condo. a condo part of Section 27 Township 36 Range 39 all MPD in OR 1011-1522 Property Tax ID #: 11227-702-0000-000/8 Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Block No. Remove existing roof covering; re -nail plywood & apply #30 felt underlayment; apply Polyglass TU Max self adhering undedayment; install galvanized valley metal and flashing; install Entegra concrete tile using two screws per tile. HVAC I l Gas Tank UGas Piping Electric 0 Plumbing Sprinklers Total Sq. Ft of Construction: 8800 Cost of Construction: $ 57� Shutters ❑ Windows/Doors Generator Roof = Roof pitch S Ft. of First Floor: _ Utilities:In Sewer E 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. Address: 2182 NW Reserve Park Trace City: Port St. Lucie State:FL Zip Code: 34986 Fax: 468-9978 Phone No. 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: CCCA17517 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: X Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: Address: City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name' x Not Applicable BONDING COMPANY: Name: = Not Applicable 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 commencing work or recording vour Notice of Commencement. _Q_Q S Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLO IDA STATE OF FLORIDA COUNTY OF O . Lv(1 P COUNTY OF St. L'4)0_pe The forgg9ing instrument was acknowledged before me The forgoing instrument was acknowledged before me this fO"ay of 4ct�— 20 /71by this day of _ �Gu�t-rJGJ� 20 yZ by oi;ck P4�.� Az-_"d &c:&Ce_K4 (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public -State of Florida) (Signature of Notary Public -State of Florida ) Personally Known tiOR roduced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produ �)iiv o'N STEPHANIE P. SMITH ?+° Commission No. ""W '9"N „_r�TEPHANIE P. SMITH Commission No. °= Notajy�dlplic - State of Florida ' ° `i•' (� Public - State of Fh My Comm. Expires Sep 2. 2017 My Cenm. Expires Sep 2, ",•���^••• BoMed Through National Notary Assn "' °1, o•o° Bonded Through National Notary Revised 07/15/20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS