HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLICA LEI FO MUST BE COMPLETECffeA�iP�UBATION TO BE ACCEPTED
Date: BY Permit Number:
St. Lucie County
/701-08F
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Building Permit Application JAN - 9 101E
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
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 III
Address: Building 15 Sparkling Pines Circle, Fort Pierce, FL 4920491849144916
Legal Description: Twn/Sec/Rng 18/34S/40E
Property Tax I D p: 1418-231-0001-000-3 Lot No.
Site Plan Name:
Project Name: _Haatharway
Setbacks Front Back: Right Side: Left Side:
Block No.
I'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. 3 / !01 10I /cA
CONSTRUCTION_ INFORMATION:
itiona wor to e e orme under is perms — c ec a apply:
❑HVAC 11GasTank ❑Gas Piping In _Shutters ❑Windows/Doors
11 Electric 0 Plumbing []Sprinklers[] Generator 0 Roof
Total Sq. Ft of Construction: 3,247
Cost of Construction: $ 12,728.85
S Ft. of First Floor: _
Utilities:Sewer 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: Hnrcham State: pQ
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(a7aol.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
it value of consvumon is pcbuu or more, a KKUKULU notice or commencement Is required.
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 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 recordingour Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent
Signature of ontrac tl nse Holder
STATE OF FLORIDA
STATE OF FLOC
COUNTY OF St. Lucie
COUNTY OF ucle
The forgoing Instrument was acknowledged before me
The for ,oing instrument was acknowledged before me
this � day of sT0.h�, 20 I S� by
thl: day of J nyA�_, 20 W_ by
Laura Buderus
Christopher A. Long
(Name ofpperson )Owner/Lessee/AgentPrinted Namo
(Name ofpersonacknowledging IContraCtoFs Name
lacknowledging
IVmo?�w., 1^%s„JT,'o-
1�yr»t.ctin 1.%Swvlr-
(Signature of Notary Public- State of Florida)
(Signature at Notary Public- State of Florida I
Personally Known OR Produced Identification x
Personally Known x OR Produced Identification
Type of Identification Produced Driving License
Type of Identification Produced
TIMOTHY W. SUTTON
Commission No. FF104 Nt TAkY PUBUC
TtMOTRYY1rS0TT0f-T
NPIMY PUBLIC
Commission No. FF104VSTATEOFFLORIDA
STATE OF FLORIDA
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07) t5/2014 CE 14t Expires 3/20/2018
Expires 3/20/2018
PLANS VEGETATION EATURTLE MANGROVE
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