HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )- Q
Date: 05 (o • 1 q' J SCANNED Permit Number: / O (o -
BY
St. Lucie County RECEIVEU
Building Permit Application JUN 19 2018
Planning and Development Services
Building and Code Regulation Division Permitting De drtmen
2300 Virginia Avenue, Fort Pierce FL 34982 9 P
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Re ide5tial-UCie County, FL
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 4954,4956,4958 Sparkling Pines Circle Fort Pierce, FI.
Legal Description: Twn/Sec/Rgn 18/34S/40E Bldg 10
Property Tax I D #: 1418-231-0001-/000-3
Lot No.
Site Plan Name: Block No.
Project Name: Heatherway Bldg 10
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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 CONSTRUCTION INFORMATION: III
Vlldl WV,nwW
HVAC
Electric
CI
wuncu UIIUCI U I IO
Gas Tank ❑Gas
Plumbing []Sprinklers
JJCI I I I I L—LIIMMdu dplAy.
Piping —Shutters ❑ Windows/Doors
0 Generator Roof 3:12 Roof pitch
_
0
Total Sq. Ft of Construction: 2113
Cost of Construction: $ 9508.50
S Ft. of First Floor: _
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: 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:.tral 993@gmail.com
State or County License: C00056933
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
utJILiNER/tNGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
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
commencing work or recording vour Notice of Commencement- 1-1 A
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF St. Lucie
The fo Ing instryynent was acknowledged pefore me
this day of NIAt ' 20 by
Laura Buderus
(Name of person acknowledging
j Owner/Lessee/Agent Printed Name
(Signature of Notary Public -State of Florida )
Known OR Produced Identification x
Type of
Commission No.
My Comm. Expires Jun 21, 2021
Revised
STATE OF FLO%P
COUNTY OF ucie
The forgoing instrtu�rn t was acknowledged before me
this J1 day of Y P. U 20 19— 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
.x✓6(; VExON�(A �L.4lJ ONA
COmmI5510n No. 's+S k Notary Pub of Florida
.' :1 •€ Commission® GG 077156
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