HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date: Permit Number: SOS'COI
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 V_!CV— Residential
PERMIT APPLICATION FOR: Roof
.PROPOSED lvlpRO.0 M NT LO�ATIO(�
Address: 5
Legal Description: �f� /`_R 1Aap (rill 15
Property Tax ID#:J�I -SGeO'bb�'� rt. 3 �513b"Qp'}D—� Lot No.
Site Plan Name:: Block No.
Project Name: l Q O K&6_ �Ui z
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRPTItN ® WORK � �, A�
REMOVE EXISTING SHINGLE ROOF SYSTEM. RENAIL DECKING TO CODE. INSTALL ASTM
30# . INSTALL IKO CAMBRIDGE ARCHITECTURAL SHINGLES - FPA# 7006-R8 �/Z
Additional work toe nertormed under this permit—check a appy:
HVAC Gas Tank []Gas Piping _Shutters a Windows/Doors
11 Electric 1:1 Plumbing Sprinklers E Generator W-1.Roof
Total Sq. Ft of Construction: /Q0 5 . Ft. of First Floor:
Cost of Construction:$ �J , Utilities: Sewer Septic Building Height:
OWNER/LESER CONTRACTOR.
Name Vista St Lucie Association, Inc Name: Jesus Vasquez, Jr.
Address:30-A Lake Vista Trail Company: All American Roofing &Coating of Florida
City: Port St. Lucie State: FL Address: 2504 SE Willoughby
Zip Code: 34952-6370 Fax: 772-878-7428 City: Stuart State:FL
Phone No. 772-878-6632 Zip Code: 34996 Fax: 772-781-4408
E-Mail: Phone No. 772-781-4410
Fill in fee simple Title Holder on next page( if different E-Mail: allamericanroof@att.net
from the Owner listed above) State or County License: CCC1329384
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION L`IENLA41�V II�`FOf�MATION
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: 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 pos on the jobsite
before the first inspection. If you intend to obtain financing, consult wi e n attor ey before
commencing work or recording our Notice of Commencement.
f� �r 5
_Signature of Owner/Lessee/Agent Signature of Co ractor/Li Holder
STATE OF FLORIDA STATE FLO
COUNTY OF - /,�_� � COLIN OF /''f7 Gti
The forgoing instr ment as acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 LS this L day of / 20 r by
e:C41hre- JESUS VASQUEZ,JR.
(Name of person acknowledging (Name of person acknowledging)
9L C! �� 4a--a
ignature of Notary Public-
lic-State of Florida ) (Signature of Notary Public-State of Florida)
Personally Known 1�1 OR Produced Identification Personally Known OR Produced Identification
Type of Identification P Type of Identification pro
t GINA M PITTMAN MISSION
M PITTMAN
Commission No. FFo3szaz :.; `;� MY1911�ISSION#FF036282 FF036282 "¢e::Commission No. v #FF036282
9r •.•'e>° Y ,
EXPIRES Jul 152017
sof Fro. E)APAES July 15,2017
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS