HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
PERMIT APPLICATION FOR: Roof — 1-26 rVoIrl
RROPOSED MPR' EMENT LOCATION
Address: ¢
Legal Description:
Property Tax ID#: Lot No.
Site Plan Name:Lam; yt�y7,_1��(, eA Block No.
Project Name: rRo=l=tt
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WpORK
. ,. .
REMOVE EXISTING SHINGLE ROOF SYSTEM. RENAIL DECKING TO CODE. INSTALL ASTM
30# . INSTALL IKO CAMBRIDGE ARCHITECTURAL SHINGLES - FPA# 7006-R8 t112
CONSTRUCTION INFOR.NIATIONa<
Additional work to be nertormed under this permit–check a
— _app y:
El HVAC Gas Tank ❑Gas Pi ing Shutters Windows/Doors
❑
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator 21 Roof
Total Sq. Ft of Construction: /Q0fy) S . Ft.of First Floor:
�L.
Cost of Construction:$ (O�jQ Utilities: _Sewer❑Septic Building Height:
OWNER/LESSEE _ 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.LIEN LAW,INF-ORMATION: .
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 thepermit 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 d posted on the jobsite
before the first inspection. If you intend to obtain financing, con le der o an attorney before
commencingwork or recordingour Notice of Commence
2 s
_Signature of Owner/Lessee/Agent Signature Contr or/Lic se Holder
STATE OF FLORIDA / STA OF RID
COUNTY OF _ G li_ ]�� COUNTY F wry h
The forgoing instr ments acknowledged before me The forgoing instrument was acknowledged before me
this day of w 20by this 1 day of 20 1 by
JESUS VASQUEZ,JR.
(Name of person acknowledging) (Name of person acknowledging)
011 9/��_ Z&a �� - &e�t�
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known /ol OR Produced Identification Personally Known � OR Produced Identification
Type of Identification Produced Type of Identification Produced
,••tPpV P(��,,;
Commission NO. FF036282 ,.••'Pnva�"•-., �aI, Commission No. FF036282t
°:'`;a e�o';(SeaJINA M PITTMAN
M PITTMAN `€ MY COMMISSION#FF036 2
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MY COMMISSION#FF036282 rFoQ° EXPIRES July 15.2017
-••,FEXPIRES July 15.2017 (407)398.0153 FloridallolaryService.com
Revised 07/15/201z, (407)398-0153 FloridallotarySemce.com
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