HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: • GANNED Permit Number: I �QS Ogg
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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
E CENED
Commercial X Residential MAY 2 6 2017
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lines PERMITTING IIFl
Address: Building 01 Sparkling Pines Circle Fort Pierce FL
Legal Description: Twn/Sec/Rng 18/34S/40E
PropertyTax ID #: 1418-231-0001-000-3 Lot No.
Site Plan Name:
Project Name: _
Block No.
Setbacks Front Back: Right Side: - Left Side: II
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.
FL 10450-R8 TARCO ROOFING LeakBarrier MS 300
FL10674-R12 Owens Corning Supreme Shingles
CONSTRUCTION INFORMATION:
Mona wor O e ne OrmP nn cr ,c norm, _. e�
Li Gas Tank
Plumbing
❑Gas Piping
❑Sprinklers
_Shutters
Windows/Dodrs '
Generator
Roof
Total Sq. Ft of Construction: 2,884 S Ft. of First Floor:
Cost of Construction: $ . 12.143.88 Utilities:USewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Heatherway Ft. Pierce, Ltd.
Name: Christopher A. Long
Address: 200 Witmer Road
Company: The Roof Authority, Inc.
p Y�
City: Hnrcham State: P.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: heatherwaVlaurap_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„nu ,,,ot,ce or wmmencement Is regwrea.
Name: _
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
INFORMA
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not
Name:
Address:
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 anricovenants 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
STATE OF FLORIDA
COUNTY OF St. Lucie
STATE OF FLO§JDLAv
COUNTY OF ucie
The forgong Instrum nt was acknowledged before me The forgoing instrumentwas edged before me
this 2 day of Ala,
� 20 JJby this day of 20 17 by
L-ta v. f& 6 jj ertn � Christopher A. Long
(Name of person acknowledging I Omer/Lessee/Agent Printed Name (Name of person acknowledging) Contractors Name
(Signature of Notary Public- State of Florida I (Signature of Notary Public- State of Florida I
Personally Known o3ROMWeii�ff N X Personally KnowS!res
eti ON
Type of IdentificaJE1
�JTV y UP-Y@e-t) Type of Identifica _
ARIDA
Commission No. Comrri (%AR4511Comrri (%AR4511 Commission No.# FF1 I'
t Expires =0)2018 3/2(01Q
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
S V�
INITIALS