HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/22/2018 Permit Number:
SCANNED
BY
• St. Lucie County RECEIVED
Building Permit Applicati MAR 2 8 20%
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Roof —<L :-_.fie III
PROP,OSEDIMPROVEMENT"LOCATION.'< I L
Address: 4944,4946,4942,4938,4940 Sparkling Pines Circle Fort Pierce, FI.
Legal Description: Twn/SeclRgn 18/34S/40E Bldg 12
Property Tax ID #: 1418-231-00014000-3
Site Plan Name:
Project Name: Heatherway Bldg 12
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIP.TION;OF WORK Y`;'� xy' _' ,• ,;III
Remove existing 3 tab shingles, Re -nail wood deck. Dry -in with self -adhered underlayment. Tri Built
Sand SA FL16048-R6. Install Owens Corning Supreme 3 Tab Shingles FL10674-R13
I'CONSTRUCTIOIV INFORMATION } _-,�." =,^!Iww-.s... I
HUUMU11d1 WU1K LU aC C1IUMMU UIIUCI L111b PCIMIL—LI
0HVAC Gas Tank Gas Piping
11Electric OPlumbing []Sprinklers
Total Sq. Ft of Construction: 3722
Cost of Construction: $ 14,906
Shutters Windows/Doors
Generator Z Roof 3:12 Roof pitch
SQl �Ft. of First Floor: _
Utilities: IJ Sewer E]Septic
Building Height:
OWNER/LESSEE; -
CONTRACTOR
Heatherwa-FL:Pierce� _Ltd_—_ _ __ _ —
-Name _Y —_- --- -- - -
--Chdsto herA.:Lon - --- --- - --
-Name: P - 9 -- --
_
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 Hwy
City: Fort Pierce State: FL
Zip Code: 34946 Fax: 772-468-2247
Phone No. 772-468-7870
E-Mail: heatherwayftpierce@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: CCCO56933
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: _
Address:
City: _
Zip:
one:
_ Not Applicable I BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 recording your Notice of Commencement_ �') J
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF St. Lucie
The fo ing Instrwent was acknowledged pefore me
this day of 1'Q,b 20 L�_by
Laura Buderus
(Name of person acknowledging )Owner/Lessee/Agent Printed Name
(Signature of Notary Public- State of Florida )
Personally Known
Type of Identificat
Commission No.
Revised 07/1
OR Produced Identification N
Iced _DLiv1nct I_LC9nfe_i
VERONICALLICONA
e&4�'. Notary PubllQgliwgofFlorida
---
'5 CommissionAGG07715fi
STATE OF FLOFitDe
COUNTY OF ucie
The forgoing instrume t was acknowledged before me
this a day of rM 20 IL by
Christopher A. Long
(Name of person acknowledging) Contractor's Name
(Signature of Notary Public- State of Florida )
Personally Known N OR Produced Identification
Type of Identification Produced
;+�i•ri _ VERON�(AL:aa ONA --- --
Cornmission No:-- - ¢fi'; Notary Pubilc�4 i ofnodda
�' :)•= Commission 7 GG 077156
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