HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ���� 11 Permit Number:
RECEIVED FEB 08 2017
SCANNEDBuildin 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 x Residential
PERMIT APPLICATION FOR: Roof F=i
PROPOSED IMPROVEMENT LOCATION: -- - -
Address: 9800, 9804, 9808, 9812, 9820, 9824, 9828, 9832, 9840, 9844 Perfect Dr., Building 5
Legal Description: Golf Villas Condo. a condo part of Section 27 Township 36 Range 39 all MPD in OR 1011-1522
Property Tax ID #: 9&27-702-0000-000/8
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
Remove existing roof covering; re -nail plywood & apply #30 felt underlayment; apply Polyglass TU
Max self adhering underlayment; install galvanized valley metal and flashing; install Entegra concrete
tile using two screws per tile.
CONSTRUCTION INFORMATION:
Additional work to be pertormed under tispermit—check all apply:
in
11HVAC Ll Gas Tank Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: 13100 SQ. Ft. of First Floor:
Cost of Construction: $ 5.5� 0d0 a 06 Utilities: 0Sewer 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.
SUPPLEMENTAL CONSTRUCTION LIEN,LAW INFORM'ATION:,
DESIGNER/ENGINEER: 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: = 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
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Si: wu COUNTY OF .9: Zvc. e_
The f r oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of% 20 26y this3day of c91
T, 20 a_by
(Name of person acknowledging) (Name of person acknowledging I
(Signature of Notary Public- State of Florida I
(Signature of Notary Public-
State of Florida I
Personally Known ✓ R4rr6Un
rsonally Known V
leuti&aIion_ _
Type of Identification Pr lu)Fd� ••, STEPHANIE P. SMITH
pe of Identification Pr
ug
"" cT
Notary Public -State of Florid
+�
`�WITH
: Notary Public -State of Florida
Commission No. '-' '= MfsrW. Expires Sep 2, 2017
mmission No.
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., pr `•��` Commission .Y FF 050475
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o, �.a ;: Commissi FF 050475
Revised 07/15/2014
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