HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: 1,101,0
3t. LucBY
ie County
Building Permit Application RECEIVE®
Planning and Development Services
Building and Code Regulation Division . JUN t 3 2017
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X ReSidentialERMITTING
St. Lucie County,
gL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: Building 21 Sparkling Pines Circle, Fort Pierce, FL units 4947, 4945, 4943, 4941, 4939,
Legal Description: Twn/Sec/Rng 18/34S/40E
PropertyTax ID 0: 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.
.CONSTRUCTION INFORMATION:
itiona worKtonenertormed under this perms — criecK all app y:
❑1jHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing []Sprinklers Generator 0 Roof
Total Sq. Ft of Construction: _ 4,057 S Ft. of First Floor: _
Cost of Construction: $ 14,157.56 Utilities:Sewer [] Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Heatherway Ft. Pierce, Ltd.
Name: ChdstopherA. Long
Address: 200 Witmer Road
Company: The Roof Authority, Inc.
City: _ Hnrcham State: Y.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: heatherwavlaura(cDaol.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
,r vawe or conscrucnon is pcbw or more, a newi<utu Notice or commencement Is required.
I SUPPLEMENTAL, CONSTRUCTION LIEN LAW INFORMATION: - ' � . III
Name:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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
com ncI a work or recordine vour Notice of CnmmenrPmPnt_
of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF St. Lucie
STATE OF FE
COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I� day of J u-N 20 .fZby this day of J w..t 20 r7 by
Laura Buderus Christopher A. Long
(Name of person acknowledging )Owner/Lessee/Agent Printed Name (Name of person acknowledging) Contractors Name
f uYnp1'h„In/ Sto- Tvnvt`WS
(Signature of N tary Public -State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification x Personally Known x ¢pry'fw.QR1T1Qi
Type of Identification Produced t ' i'n W1t%&- SUTTUR Type of Identification 4WTEQFFLORIDA
ARYPUB� in�O ARY B C
FCommissionNo. FF104 ;S�JgjTE OF FLORIDA Commission No. 64511Comm# FF104511
ires 3/2012018
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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