HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 �' l% SCANNED Permit Number: 7'y0 lX �Ito .
tom: -Z-71 BY RECEIVED
St. Lucie rnl Inti,
Building Permit Application MAY 16 2017
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: To Select from dropbox, click arrow at the end of line
PROPOSED IIVIPROVEIVIENT LOCATIQN: _ _
Address: ldtng 6 Sparkling Pines Circle, Fort Pierce, FL 4981,4983,4977+4979
Legal Description: Twn/Sec/Rng 18/34S/40E
PropertyTax ID ff: 1418-231-0001-000-3 Lot No.
Site Plan Name:
Project Name:
Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing 3 Tab shingles. Re -nail wood deck. Dry roof in with self -adhered underlaymen
Install OWENS Corning Supreme Shingles. 3) 1 a A
I'CONSTRUCTION INFORMATION: . III
uiia' wu1n w ue enunnea
HVAC Gas Tank
under Lnis permit—cneCK all
Gas Piping
apply:
Shutters
❑
_
Windows/Doors
Electric 0 Plumbing
❑Sprinklers
Generator
11
Roof
Total Sq. Ft of Construction: 3,200 Sq. Ft. of First Floor: _
Cost of Construction: $ 13,OA3 49 Utilities:Sewer ElSeptic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Heatherway Ft. Pierce, Ltd.
Name: Christopher A. Long
Address: 200 Witmer Road
Company: The Roof Authority, Inc.
City: Horsham State:.A
Zip Code:19044 Fax:
Phone No. 772-468-2333
Address: 6771 North Old Dixie Highway
City: Fort Pierce State: FL
Zip Code: 34946 Fax: (772) 468.2247
Phone No. (772)468.7870
E-Mail: heatherwaVlaurany.aol.com
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: tral993@gmail.com
State or County License: CC C056933
ij venue ui cumarucaan is acouu or more, a KLLVKULU Notice or commencement is required.
s
ucarumtrilcnuiivttn:
_ Blot µppncanie
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
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 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 recordine your Notice of Commencement.
s
—Signature of Owner/ Lessee/Agent Sig ur ntra or/Li rise Holder
STATE OF FLORIDA STATE F F O 1 ^
COUNTY OF- L uc p COUNTY OF
The for ng instrument was acknowledged before me The forgoing instrument was acknowledged before me
this f f4ay of /yam 20 aby this j_( 6ay of Ma:9 , 20 12 by
10,Lyr.2�) Cie\ �vL�neiQ�ora
(Name of person acknowledging )Owner/Lessee/Agent Printed Name (Name of person acknowledging ) Contractors Name
(Signature df Notary Public- State of Florida) (Signature of N Lary Public- State of Florida )
Personally Known dirWTdffiW IfiV6Fi0N Personally Known i/ t duTi�J �i �aJan ON
Type of Identification Pr NOTARY PUBLJC Type of Identificationion Pr NOTARY ioUHL18
° _ STATE OF FLORIDA O� FLORIDA
Commission No. Comn(11FA)04511 Commission No. /"(' % 511
1 Expires 3/20/2018 1 Expires 0/2018
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
s
COMPLETE
g
INITIALS
W