HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONl" V
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED - O
Date:
— �' �� SC BY
NEB Permit Number:
St. Lucie County
RECEIVED
Building Permit Application MAY 09 2018
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: To Select from dropbox, click arrow at the end of line III
Address: Building 07 Sparkling Pines Circle, Fort Pierce, FL Lf y 6 g9_)a L(FY
Legal Description: Twn/Sec/Rhg 18134S/40E
Property Tax ID #:
Site Plan Name:
1418-231-0001-000-3
Project Name: Heatbenalay
Setbacks Front Back: Right Side: LeftSide:
OF WORK:
Remove existing 3 Tab shingles. Re -nail we
Install OWENS Corning Supreme Shingles.
Lot No.
Block No.
Dry roof in with self -adhered u
,CONSTRUCTION INFORMATION:
itiona wor to e e orme under tis permit— check all apply.
�HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing []Sprinklers Generator ® Roof
Total Sq. Ft of Construction: 2,381 Sct. of First Floor: _
Cost of Construction: $ 9,695.20 Utilities* Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Heatherway Ft. Pierce, Ltd.
Name: Christopher A. Long
Address: 200 Witmer Road
Company: The Roof Authority, Inc.
City: Hnrcham State: 2A
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: heatherwayiauraoaol.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.
l
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: II
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:
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
Commenclne work or recordinp vnur Nntirp of ('nmmonro..,e..r 1 e
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF St. Lucie
The fgsggirsg instryplent was acknowledged before me
this day of Q,�j . 20 �by
Laura Buclerus
(Name Hof/person
�acknowledging
IOmer/Lessee/Agent Printed Name
V.Qi w V VU�A � r-LUi0"YLQC�
(Signature of Notary Public- State of Florida )
Known OR Produced Identification X
Type of
Commission No.
Revised
VERONICA L. LICONA
nary Publi(S Fsil Florida
Commission 8 GG 077156
(Comm. Expires Jun 21, 2021
STATE OF FLO" Lucie
COUNTY OF 51
The forgoing instr�u e t was acknowledged before me
this, day of I-e . 20 L by
Christopher A. Long
(Name of person acknowledging) Contractoes Name
(Signature of Notary Public- State of Florida )
Personally Known X
Type of Identification
Commission No.
OR Produced Identification
NotaONA
ry P�ubk�xL,l�of F orida
Commission i GG 077156
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