HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED -FOR APPLICATION TO BE ACCEPTED
Date: �� I I SCANNED Permit Number:
a BY
.St. Lucie County Rf
celft
Building Permit Application RA 091818 Planning and Development Services p
Building and Code Regulation Division ®B 1 0&
2300 Virginia Avenue, Fort Pierce FL 34981 141a t9d sent
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
FKUNUStu IMF'KOYt MtNTLOG9TION ,__ '
Address: Building 06 - Sparkling Pines Circle, Fort Pierce, FL
Legal Description: Twn/Sec/Rng 18/34S/40E
getyo rut ga L 4q 7 r
Property Tax ID k: 1418-231-0001-000-3
Site Plan Name:
Project Name: Henthprwqy
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.OF WORK:
Remove existing 3 Tab shingles. Re -nail wood deck. Dry roof in
Install OWENS Corning Supreme Shingles.
❑HVAC Q Gas Tank
Electric Q Plumbing
permit- check all app y:
Lot No.
Block No.
el,/J_ l,1-1C dt_
Gas Piping LJ _Shutters ❑ Windows/Doors
Sprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: 2,113 S Ft. of First Floor: _
Cost of Construction: S 8,751.31 Utilities: Septic
Building Height:
OWNER%LESSEE:°'
'CONTRACTOR'
Name Heatherway Ft. Pierce, Ltd.
Name: Christopher A. Long
Address: 200WitmerRoad
Company: The Roof Authority, Inc.
City: Hnrcham State: _M
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(cDaol.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
a value or construction is >zbuu or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INI
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
ZIP Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
TION:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Nat 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_ .') A
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF St. Lucie
The ng Instryment was acknowledgedpefore me
forgoi
this day of 10.
Laura Buderus
(Name ^of person acknowledging ) IO edLessee/Agent Printed Name
(Signature of Notary Public- State of Florida )
Personally Known
Type of Identifical
Commission No.
Revised 07/1
OR Produced Identification x
VERONICA L. LICONA
sry Publi(S41BtIof Florida
ommission A GG077156
STATE OF FLORID
COUNTYCOUNTY OF
The forgoing instrxu�me t was acknowledged before me
this 4-day of Y P. 20 lig by
Christopher A. Long
(Name of person acknowledging) Contractor's Name
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission NO. VERONJJ((AA��L.pp ONA
NotaryPub , of Florida
_. 'At' • CommissionF GG077156
; 4My Comm. Exoires Jun 21.2021
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