HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1,,�n 5-00o
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXXXWCX
PERMIT APPLICATION FOR: Roof
PROPOSED:IMFROVEMENT;LOCATION
Address: 14227 AVESTRUZ CT. FORT PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS
Property Tax ID#: 1306-111-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION 0F,V1/ORK
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
3/)2,l!Z
INSTALL 26 GA METAL ROOF SYSTEM Y
EalNrr rins�
P
,. ,
CONSTRUCTION;INfORMATION:
Additional work to be performed under t ispermit—c ec ill appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1,250 S Ft.of First Floor:
Cost of Construction.$ 5,450 Utilities.. Sewer Septic Building Height:
01NNER/LESSEE ,CO;NTRACTOR:, ;
F...
Name PHILIP PERTUCH Name: JOE BAKER
Address: 14227 AVESTRUZ CT. Company: BIG LAKE ROOFING&REPAIRS
City: FORT PIERCE State:FIL Address: 2699 NW 16TH BLVD.
Zip Code: 34951 Fax: City: OKEECHOBEE State:FL
Phone No.772-521-1361 Zip Code: 34972 Fax: 863-763-7662
E-Mail: Phone No. 863-763-7663
Fill in fee simple Title Holder on next page(if different E-Mail: BIGLAKEROOFING@GMAIL.COM
from the Owner listed above) State or County License: CCC046939
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL`CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: u S el-, rl Name:
Address: (a6-2 o S. 'P 0 Y-r'Ai' &,,i P Address:
City: State: L City: State:
Zip: Phone: iQ,i ]��— �(� Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: n Dr Name:
Address: W oZ n f�/-if Address:
City: 'Y1,i A'vn m i City:
Zip: 3 ,) (P Phone: 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 our Notice of Commencement.
Signature of Owner gent/Lessee Signature of Contractor/License Holder
STATE OF
COUNTY OFORIDA STATE OF Q�C,?rZr✓ ��� COUNTY OF®RID,( AGI n��
The forgoin instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 4of r 1 2014; by this y _f R s. 20l9by
(Name of person acknowledging) (Name of p rson ackn`ow edging)
�Ef-;;.,,i
I i('i c.-
St.Lucie c. f:L
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known 5!�_—OR Produced Identification Personally Known-,�OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ea Commission No. e )
..�'��' �aa�er Edwardson ;.=qP '���'. eater Edwardson
1111111 06
Revised 07/15/2014 �� EXPIRES: May 21, 2018 =��j, - EXPIRES: May 21, 2018
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