HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNE® Permit Number: 1�1l0 • MCI,
Sy
St. Lucie County
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
Commercial X Residential
RECEI 7
JUN 13 'n77
E:. Lucie County. FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: Building 20 Sparkling Pines Circle, Fort Pierce, FL Units 4929, 4927, 4925, 4931, 4933,
Legal Description: Twn/Sec/Rng 18134S/40E
Property Tax ID th 1418-231-0001-000-3 Lot No.
Site Plan Name:
Project Name: _ Hoat•iy
Setbacks Front Back: Right Side: Left Side:
DESCRIPTION OF WORK:
Remove existing 3 Tab shingles. Re -nail wood deck. Dry roof in
Install OWENS Corning Supreme Shingles.
Block No.
CONSTRUCTION INFORMATION:
itiona worKlOuenertormed under thispermit —check all apply:
❑HVAC Gas Tank ❑Gas Piping In _Shutters ❑Windows/Doors
Electric Plumbing []Sprinklers OGenerator 0 Roof
Total Sq. Ft of Construction: 3,597
Cost of Construction: $ 14,795.43
S Ft. of First Floor:
Utilitles:12Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Heatherway Ft. Pierce, Ltd.
Name: Christopher A. Long
Address: 200 Witmer Road
Company: The Roof Authority, Inc.
City: HorSharn 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: (7721468.2247
Phone No. (772) 468.7870
E-Mail: heatherwaVlaura0mol.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
„ vd,ue ui uunauucuon is ;Icouu or more, a nMuxueu notice of commencement is required.
[SUPPLEMENTAL CONSTRUCTION LIEN l:A1N INFORMATION:
Name:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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,
accessary 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 f"* * pection. If you intend to obtain financing, consult with lender or an attorney before
com-FlenciAk work or recording vour Notice of Cnmmpnrpmpnt-
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this 11: day of J t&w . 20 Q_by
Laura Buderus
v
STATE OF FLO
COUNTY OF_ _
The forgoing instrument was acknowledged before me
this , day of Jy.A p . 20 ED_ by
Christopher A. Long
(Name of person acknowledging )Ovmer/Lessee/Agent Printed Namel (Name of person acknowledging) Contractors Name
urn yi ,1�)
(Signature of Votary Public -State of Florida ) (Signature of Notary Public- State of Florida)
Personally Known OR dux ti x Personally Known x O*Expires
1T�iiPUN-Sun
•o�•wp�w NOTARYPUBCiIC
Type of Identification Prod +i 'v' Type of Identification ProducST}�TE,PFFLORIDA Commission No. FF10$ 0����jj Commission No. FF1045FFto45+
F104511 3/20/2016
Expires 320/2018
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
/
COMPLETE
l
INITIALS