HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II __U�^
Date: j(:ANNED Permit Number: I '7Q(- l 1or71
t��. BY
.t 111rizrnlmty RECEIVED
Building Permit Application
Planning and Development Services JUN i 3 2017
Building and Code Regulation Division
2300Virginia Avenue, Fort Pierce FL34982 PERMITTING .
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X ReSide$itialcie County, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: Building 22 Sparkling Pines Circle, Fort Pierce, FL Units 4957, 4951, 4955, 4953+4949
Legal Description: Twn/Sec/Rng 18/34S/40E
Property Tax ID p: 1418-231-0001-000-3 Lot No.
Site Plan Name:
Project Name- Heatherway
Setbacks Front Back: Right Side: Left Side:
Block No.
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.
CONSTRUCTION INFORMATION:
Additional work o orme under
❑HVAC ff Gas Tank
is permit— Check
❑Gas Piping
a apply:
❑Windows/Doors
_Shutters
Electric 0 Plumbing
[]Sprinklers
Generator
0 Roof
Total Sq. Ft of Construction: _ 3,597
S Ft. of First Floor:
Cost of Construction: $ 14,795.43
Utilities:llSewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Heatherway Ft. Pierce, Ltd.
Name: Christopher A. Long
Address: 200 Witmer Road
Company: The Roof Authority, Inc.
City: 14nrSham 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: heath erwavlaura(a-)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
.o ,._ V UU1.3U U.,.I VIA n ?a wu or more, a ncwnueu Nonce or wmmencement is required.
ICTIQN LIEN'LAW I
UtblUNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
IRMATION:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: _Not Applicable
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 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 Your Notice of Commencements
—Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTYOF St. Lucie
The fo oIng Instrument was acknowledged before me
thism day of Ju vte 20 Eby
STATE OF FL
COUNTY OF
The forgoing instrument was acknowledged before me
this,3 day of J tvv. 20 i_7 by
Laura Buderus I Christopher A. Long
(Name of person acknowledging )Owner/Lessee/Agent Printed Name (Name of person acknowledging )Contractor's Name
Tt no.+L u) St�� Twr,y, W kW;
(Signature of Notary Public -State of Florida) (Signature of No ary Public- State of Florida )
Personally Known OR dui T YN1.SUTON
Type of Identification Produc Q �L{6
6RI9A
No. FF104 CS FF104511
Expires 3120/2018
Revised 07/15/2014
PersonallyKnown x p ucd'IMBtTihMtVdJjrrON
Type of Identification Prod NOTARY PUBLIC
STATE OF FLORIDA
Commission No. FF1 Com104511
40 Expires 3/20/2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS