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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 03/22/2018 SCANNE1D Permit Number: `�CJ__:S_ Gq'11 BY St. Lucie County Building Permit Ap 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 I PERMIT APPLICATION FOR: Roof-<X_t -_ t.. III PRO. POSED dIV1PROVEMENT LOCATION';` Address: 4930,4934,4932,4936 Sparkling Pines Circle Fort Pierce, Fl. dl DU 13 Legal Description: Twn/Sec/Rgn 18/34S/40E Property Tax ID ff: 1418-231-0001-000-3 Lot No. Site Plan Name: Block No. Project Name: Heatherway 01D 13 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION ORWORK���� � „ ,M„ , f �, , Remove existing 3 tab shingles. Renail wood deck. Dry -in with self -adhered underlayment -Tribuilt Sand SA FL16048-R6, Install Owens Corning Supreme 3 Tab FL10674-R13 OHVAC UGas Tank 11 Electric ,.Plumbing Total Sq. Ft of Construction: 2.368 Cost of Construction: $ 10,315.00 dcnm1.—uicLn au is nNNry. Gas Piping _ Shutters ❑ Windows/Doors Sprinklers Generator Roof ©1 Roof pitch S Ft. of First Floor: _ Utilities:ll Sewer ElSeptic Building Height: OWNER%LESSEE1 Yx.+a,e,assrnYe.} 3.� a:v sA4•.r�.�-..Y CONTRACTOR .. Name Heatherway Ft. Pierce, Ltd. Name' christopherA=tong'- — --- — — — Address: 200 Witmer Road Company: The Roof Authority, Inc. City: Horsham State: PA Zip Code: 19044 Fax: Phone No. 772-468-2333 Address: 6771 North Old Dixie Highway City: State. FL Zip Code: 34946 Fax: 772468-2247 Phone No. 772-468-7870 E-Mail: heathenvayftpierce@gmail.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: CCC056933 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: II DESIGNER/ENGINEER: ,_NotApplicat 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: _Not Applicable Name; Address: 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 _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF St. Lucie The f ing instr�lplent was acknowledged before me this day of 1-fJz 20 acknowledged Laura Buderus (Name of person acknowledging I Owner/Lessee/Agent Printed Name �Q� wy NAM � r`l-U.�I�• (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification x Type of Identificatipn_Produced-Dcivino Licanw, Commission No. Revised 07/1 STATE OF FLORIDe COUNTY OF ucie The forgoing instrume t was acknowledged before me this _11dayof IP D •2018by Christopher A. Long (Name of person acknowledging I CofLtr8C10fS Name (Signature of Notary Public- State of Florida I Personally Known x OR Produced Identification Type of Identificatio Pr duced ,••"N:+;; VERON��((pp�L. qq[[ONh Commission No. ?'r' @*: NotaryPONML,JONAof rid+. commission 9 GG077156— — REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 3�2t3%i INITIALS