HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONVF:
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: qo Permit Number:
• RECEI!'_D JUL 0 8 1017 3CANNEQ
Building Permit Application BY
Planning and Development Services St Lucie
COURfl
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 11
Address: Building 23 Sparkling Pines Circle, Fort Pierce FL Units 4959 4965 4967 4963 +4961
Legal Description: Twn/Sec/Rng 18/34S/40E
Property Tax ID a: 1418-231-0001-000-3 Lot No.
Site Plan Name:
Project Name:- Heathprvitalf
Block No.
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.
INFORMATION:
nwuc owaieu utiuci un]permn—cneCK au apply:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing Sprinklers E Generator Roof
Total Sq. Ft of Construction: 3,722 S Ft. of First Floor:
Cost of Construction: $ 14,906.49 Utilities:Sewer 11 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Heatherway Ft. Pierce, Ltd.
Name: Christopher A. Long
Address: 200 Witmer Road
Company: The Roof Authority, Inc.
City: Hnrchgm 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. 1772) 468-7870
E-Mail: heatherwavlaura(cbaol.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 vame or construction is $2500 or more, a RECORDED Notice of Commencement is required.
u a 1A
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER; _Not Applicable MORTGAGE COMPANY: Not Applicable
_
Name: Name:
Address: Address:
City: State: _ City: State:
_
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that nowork or installation has commenced prior to the issuance of a permit.
St.
is inoconflict with any applicableiHo eat is Owgranting
e s Asssoclationl rules, ylaws or and covenants that mays estrict6or 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
comFoencing work or recordinng our Notice of Commencement.
t LR�
s
_ Signature of Owner/ Lessee/Agent
Signature ontrac nse Holder
STATE OF FLORIDA
COUNTY OF St. Lucie
STATE OF FLOfjS�
COUNTY OF ucie
The forgoing instru , ent was acknowledged before me
this day of �"u 1� . 20 (7—by
The for oing instrument was acknowledged before me
this � day J
of uT 20 L-L_ by
Laura Buderus
Christopher A. Long
(Name of person acknowledging )Ownerli-essee/Agent Printed Name
(Name of person acknowledging) COntractOiS Name
wn W v
:1 �v}� btu
(5ignatur of Notary Public- State of Fl rich 1 W. SImON
TIC THY
(Signature of Notary P lic- StFNGtW WA N70N
Personally Known n X
Personal) Known NOTARY PUBLIC
r c �qji k(ORtion
Type of Identification Pr i4i F IOIt—`
ComMf
-Type of Identifica
FP191511
Commission No. FF1 EtIpk%M&2012018
Commission No. lE*res 3a"�B
ReNdscd07/IS/2014
—_— — -- - -- — --_
PLANS GETATION SEA TURTLE MANGROVE
REVIEWS
FRONT
ZONING
SUPERVISOR
-
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
—
—
-- —
-- —
COMPLETE
�
INITIALS
F