HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: 1 `O5 - bsi1
BY RECEIVED
St. Lucie Countv
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
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PROFOSED lIVIRROVEIVIENl' LOCAl'10[V-:
address: Sparkling Pines Circle, Fort Pierce, FL 4987,4985,4991,4989+5001
Legal Description: Twn/Sec/Rng 18/34S/40E
Property Tax ID #: 1418-231-0001-000-3 Lot No.
Site Plan Name:
Project Name: Heatherway
Setbacks Front Back: Right Side: Left Side:
Block No.
I'DETAILED DESCRIPTION OF WORK: -1II
Remove existing 3 Tab shingles. Re -nail wood deck. Dr
Install OWENS Corning Supreme Shingles. .31 t.;�- P
CONSTRUCTIO_ N INFORMATION:
itiona worKtOURnpirformed under this permit— check all apply:
nn❑HVAC Gas Tank E]GasPiping In Shutters ❑Windows/Doors
_
11Electric 0 Plumbing ❑Sprinklers Generator 0 Roof
Total Sq. Ft of Construction: _ 4,156 S Ft. of First Floor:
Cost of Construction: $ 16,465.58 Utilities:] Sewer F]Septic Building Height:
OWNER/LESSEE;
CONTRACTOR:
Name Heatherway Ft. Pierce, Ltd.
Name: Christopher A. Long
Address: 200 Witmer Road
Company: The Roof Authority, Inc.
City: Hnrcham State: _PA
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: heatherwavlaura(d)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
n vaiue or construction is yzsuu or more, a REcoRDEU Notice or commencement is required.
D
INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
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 recording vour Notice of Commencement.
_ Sighature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF h
COUNTY OF —4 LAG c I COUNTY OF
The forgoing instru ent was acknowledged before me
this Lin day of � 20 _by
(Name of person acknowledging ) O.er/Lessee/Agent Printed Name
(Signature bf Notary Public- State of Florida )
Personally Known pdtTWTM!"fi ice4{ QWi
Type of Identification Pr NOTARY
ATE OF FLORIDA
Commission No. ft 1 �Cvm 04517
1 EF:m".�3/20/4n"
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this Ljt day of 114Q,20 )2 by
C1nr1S4-0,0 4 Lpr.4
(Name of per on acknowledging) Contractor's Name
(Signature of Notary Public- State of Florida )
TIMOTHY W. SUTTON
Personally Known ✓ eNOM EgflildC
Type of Identification Prod��TE OF FLORIDA
Canmf► FF104511
Commission No. �/ t Ex6fit /2018
REVIEWS
FRONT
ZONING
SUPERVISOR
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VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVI
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
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INITIALS