HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t�
Date: Permit Number: / ��� 0011l
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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 X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 1902 S. 34th St. Ft. Pierce
Legal Description: WESTWOOD MANOR BLK 3 LOTS 1 AND 2(0.31 AC)(OR 3716-1773)
Property Tax ID#: 2417-702-0028-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Philips Contracting-Three Guys Roofing-Ft Pierce Flat
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.
Re-Roofing of the 1/4"pert' sloped flat roofing system with Polyglass Self adhering system.
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a app
HVAC be
Tank ❑Gas Piping Shutters a
Windows Doors
O Electric O Plumbing OSprinklers _Generator
Roof
Total Sq. Ft of Construction: 1200 SFt.of First Floor: N/A
Cost of Construction:$ 4000.00 Utilities:n Sewer O Septic Building Height: 12'
OWNER/LE-SSE'-E: = CONTRACTOR: .`
Name Federal Home Loan Mort Corp Name: Shawn Wolfe
Address:5000 Plano PKWY Company: Three Guys Roofing
City: Carrollton,TX State:TX Address: 700 Uno Lago Dr#103
Zip Code: 75010 Fax: City: Juno Beach State:FL
Phone No. Zip Code: 33408 Fax:
E-Mail: Phone No. 561.907.8422
Fill in fee simple Title Holder on next page(if different E-Mail: shawn@threeguysroofing.com
from the Owner listed above) State or County License: CCC1330245
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: 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 inyour pa g twice for
improvements to your property.A Notice of Commencement mus be recorded an poste on the jobsite
before the first inspection. If you intend to obtain financing, co with lender o an at rney before
commmeencin rk or recordingour Notice of Commencemen .
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Signature ofwner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF FaI yr COUNTY OF 6
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisJ 4t`day of &c%V 20 15 by this \'�N day of 20 5 by
(Na/eo rs n acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public tate of Florida)
Personally Known OR Produced Identification Personally Known OR Pro ced Idep4t�v�N510011p16
Type of Identification Produced Type of Identification Produced
acy Q° txPxces �two'rl ps
Commission No. I- Commission No.
"•..... SHAWN WOLFEMY COMMISSION#FFTOW5
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Revised 07/15/)20 4` o� EXPIRES January 1.2019
(407)398-0153 FloridallotaryService.cam
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