HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLICABLEfjINFO /MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l0 ' I "/• )ZC SCANNED Permi L'
BY . EL
St. Lucie County
Building Permit Applica ion JUN 19 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St, L Cie Countyr FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: Building 09 Sparkling Pines Circle, Fort Pierce, FL 4962,4964,4960
Legal Description: Twn/Sec/Rng 18/34SI40E
PrcpertyTax ID N: 1418-231-0001-000-3 Lot No.
Site Plan Name:
Project Name: Heatherway
Setbacks Front Back: Right Side: Left Side:
Block No.
"DE -TAILED DESCRIPTION OF WORK: -111
Remove existing 3 Tab shingles. Re -nail wood deck. Dry roof in w
Install OWENS Corning Supreme Shingles. z f 1 :z
CONSTRUCTION INFORMATION: III
HVAC li Gas Tank ❑Gas Piping
U Shutters ❑
Windows/Doors
Electric 1:1Plumbing Sprinklers
Generator
Roof
Total Sq. Ft of Construction: _ 2,454 S Ft. of First Floor:
Cost of Construction: $ 9,875.16 Utilities:Sewer E:] Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Heatherway Ft. Pierce, Ltd.
Name: Christopher A. Long
Address: 200 Witmer Road
Company: The Roof Authority, Inc.
City: HnrShnm State: PA
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: heath erwaylauraCa)aol.corn
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E-Mail: tral993@gmail.com
State or County License: CC C056933
it value at construction is Rsuu or more, a itecoaoeo Notice or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION; I
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.
which is inoconflicmt with any applicable )Hothat
e Owners Association) rules,bylaws or and covenants that build
drestrict 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 fo ing instrument was acknowledged before me
this day - YQ��j z0 Jby
Laura Buderus
Jj(/Naame Hof/person
�acknowledging
(I Owner/Lessee/Agent Printed Name
(Signature of Notary Public- State of Florida J
Personally Known OR Produced Identification x
Type of Identification Preduced__Q ivinaljcanse
Commission No. Notary PublidSlitatliof Florida
Commission I GG 077156
r Comm. Expires tun 71, 2021
Revised 07/I
STATE OF FLORIDe
COUNTY OF ucie
The forgoing instrument was acknowledged before me
this 4 day of 20 19 by
Christopher A. Long
(Name of person acknowledging) CO((�nt'racctoor s Name
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced_
w+•r•r!"., VERONJ��(p�L.4IJ 0NA
Commission No. ` Notary Pubae+s5�t�of Florida
•s; Commission l GG 077156
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
G oiG
INITIALS