HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.r
ALL APPLICABLE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Q I g SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application RECIRVED
Planning and Development Services JAN - 9 2018
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
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 III
Address: Building 14 Sparkling Pines Circle, Fort Pierce, FL 4922,4926,4924,4928
Legal Description: Twn/Sec/Rng 18/34S/40E
Property Tax I D k: 1418-231-0001-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Heatherwav
Setbacks Front Back: Right Side: Left Side:
''DETAILED D-ESCRIPTION.OF WORK: III
Remove existing 3 Tab shingles. Re -nail wood deck. Dry roof in
Install OWENS Corning Supreme Shingles.
CO%TRU.CTION INFORMATION:
I Iona wor to jee( orme under Is permit— check a apply:
❑HVAC I,(GasTank DasPiping_Shutters ❑^Windows/Doors
Electric 0 Plumbing Sprinklers Generator 11 Roof
Total Sq. Ft of Construction: 3,247 S Ft. of First Floor:
Cost of Construction: $ 13,145.98 Utilities:Sewer Septic
Building Height:
OWNER/LESSEE: - u
CONTRACTORc
Name Heatherway Ft. Pierce, Ltd.
Name: Christopher A. Long
Address: 200 Witmer Road
Company: The Roof Authority, Inc.
City: Hnrchnm 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(Uiaol.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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name:
Address:
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:
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 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
comp)encing work or recording vour Notice of Commencement-
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF St. Lucie
STATE OF FL
COUNTY OF
The Moing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l� day of JA n ✓A \ 20 Ly by thisK— day of Any .20 1,� by
Laura Buderus IChristopher A. Long
(Name of person acknowledging I OwnectLessee/Agent Printed Name (Name of person acknowledging) Contractor's Name
T/rr t rn tL%S `r;mA Ids
(signature of Notary Public- State of Florida I (Signature f Notary Public- State of Florida I
Personally Known OR Produced Identification x
Type of Identification Produced Drivino License
FF10 TIMOTHY W. SUTTON
Commission No. NdS95*PUBLIC
STATE OF FLORIDA
--- -- corn FF104511 —'
Revised 07, .5/2014 E s Expires 3/20/2018
REVIEWS I FRONT I ZONING
COUNTER REVIEW
INITIALS
Personally Known x OR Produced Identification
Type of Identification Produced____
FF1045 TIM0THY W. SUTTON
Commission No, 48TAY PUBLIC
STATE OF FLORIDA
Ccirm# FF1045V --
Expires 3/20/2018
SUPERVISOR REVIEW REVIE PLANS __I VEGETATION S EV EWLE � MANGROVE
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