HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: k5o
RECEIVED
•
- _ Building Permit Application MAY 2 0 2015
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 XXXXXXXX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 1 SAN FELIPE FORT PIERCE, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
FDET ILED DESCRIPTION OF,W@RK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-22630# UNDERLAYMENT
I N STALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION INFORMATION:
Additional work to e e orme un er t is permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: 1,500 S . Ft.of First Floor:
Cost of Construction:$ 6,375 Utilities:Cn Sewer[:]Septic Building Height:
OWNER/LESSEE: 'CONTRACTOR:
Name JIM GILLESPIE Name: JOE BAKER
Address:1 SAN FELIPE Company: BIG LAKE ROOFING&REPAIRS
City: FORT PIERCE State:FL Address: 2699 NW 16TH BLVD.
Zip Code: 34951 Fax: City: OKEECHOBEE State:FL
Phone No.772-579-1672 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@YAHOO.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: ASMUSSEN ENGINEERING LLC Name:
Address:600 S PARROTr AVE Address:
City: OKEECHOBEE State: FL City: State:
Zip: 34974 Phone: 863-763-8546 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: WYNNE BUILDING CORP Name:
Address: 12804 SW 122ND AVE Address:
City: MIAMI City:
Zip: 33186-6203 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,1 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 o Own Arent)L Signature of Contractor/Licens o der
STATE OF FLORIDA ` STATE OF FLOREte.:e
COUNTY OF D14-e_-e_c rLl�-e"P COUNTY OF C,k,
The for ,o�'ng instrument was acknowledged before me The forg i instrument was acknowledged before me
this�,day of 20 1f-by this 7z of 20-4 by
ha, -ern - '
(Name of person acknowledging) (Name of person acknowledging)
(Signature of otary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
,Q
V. �� Hever Edwardson Commission No. �`a������.�,,,(Slioather Edwardson
Commission No. ,.t`�4 d,i.,
COMMISSION#FF125216 a COMMISSION#FF125216
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