HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0, 5eO'-{-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number:
BY
St. Lucip rni inttr
Building Permit Application RECOVE®
Planning and Development Services MAY 2 ID 2��%
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PERMITTING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residentigi. Lucle County, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line II
Address: Building 02 Sparkling Pines Circle Fort Pierce FL
Legal Description: Twn/Sec/Rng 18/34S/40E
Property Tax ID #: 1418-231-0001-000-3 Lot No.
Site Plan Name:
Block No.
Project Name: Heathormlav
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.
FL 10450-R8 TARCO ROOFING LeakBarrier MS 300
FL10674-R12 Owens Corning Supreme Shingles
CONSTRUCTION INFORMATION:
Additional work to be nprtormed under tis permit— cheEFT apply:
n�❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
IJ Electric, 0 Plumbing []Sprinklers Generator 0 Roof
Total Sq. Ft of Construction: 2,393 S Ft. of First Floor: _
Cost of Construction: $ 9,774.66 UtilitiesSewer 0 Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Heatherway Ft. Pierce, Ltd.
Name: Christopher A. Long
Address: 200 Witmer Road
Company: The Roof Authority, Inc.
City: Horsham State: _EA
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: heath erwaVlauraCa7aol.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
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip: —
e:
MORTGAGE COMPANY: Not Applicable
Name: —
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
certify that no work or installation has commenced prior to the issuance of a permit
which is in Court
with and( applicable 1Home oat wners Asssociat Association rulesabylaws 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
comnricing work pMcording your Notice of Commencement.
STATE OF FLORIDA
COUNTY OF St. Lucie
The forggo g Instru�}ent was acknowledged before me
this 2.S day of /v/ t 20 aby
(Name of person acknowledging I OwnedLessee/Agent Printed Name
%S
(Signature of o[ary Public- State of Florida )
in TIMOTHY W. SUTTON
Personally Known �', tp uNs11 ?A)4 6n X
Type of Identification Pr +STATE f�FrFl4itIDA
Cam �p FF104511
Commission No. FF 1045 Expf4wgJ2o/2016
Revised 07/15/2014
STATE OF FLO§LDLA
COUNTY OF ucie
The forgoing instrument was acknowledged before me
this day of 21a/ 20 17 by
Christopher A. Long
(Name of person acknowledging) COrltractOr�S Name
�vrvlwl-�,., I.JSK.1�
(Signature of Itotary Public- State of Florida )
TIMOTHY W. SUTTON
Personally Known X 44bVARWPMEI 1C
Type of Identification Prod STATE OF FLORIDA
Commission No, FF 1045 Comm* FF104511
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