HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ISn '
o
RECEVED
Building Permit Application JUL 10 2015
Planning and Development Services
Building and Code Regulation Division PERMITIFING
2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential .x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 3711 PROMENADE WAY FORT PIERCE, FL 34982 -
Legal Description: ESTATES OF LONGWOOD LOT 43 (0.42AC)(OR 3268-1565; 3272-1245)
Property Tax ID#: 2433-502-0043-000-0 Lot No.43
Site Plan Name: Block No.
Project Name: PURCELL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF'WORK:
REMOVE EXISTING TILE & FLAT ROOFS DOWN TO WOOD DECK, RENAIL DECK TO CODE,
INSTALL NEW PEEL & STICK UNDERLAYMENT, SHINGLES & MODIFIED BITUMEN
PITCH 6/12 GABLE SHINGLES OC DURATION NOA#12-0309.01
C-e Ft H 4 C( e 0 __H__ I L4 - O 2 Z4 . 0
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC EiGasTank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 4,500 S . Ft. of First Floor: 3,532
Cost of Construction: $ 19,000.00 Utilities:n Sewer O Septic Building Height: 10'
OWNERAESSEE: CONTRACTOR:
Name MIKE PURCELL Name: CHARLES RICHARDS
Address:3711 PROMENADE WAY Company: ALL AREA ROOFING
City: FORT PIERCE State:_ Address: 3921 S US HIGHWAY 1
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No.772-461-2266 Zip Code: 34982 Fax: 772-464-6600
E-Mail:SHERRYCW@COMCAST.NET Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC 1326177
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X 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 posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comm9flgrpig work or recording our Notice of Commencement.
aj4c., ` s
Ignature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The f going instru ent as acknowledged before me The forgoing instru ent as acknowledged before me
this a-day of 20 VS—by this day of 20 by
CHARLES RICHARDS CHARLES RICHARDS
(Name of person acknowledging) (Name of person acknowledging)
(Signatur of otary Public- ofrid ) (Signatur of otary Public-S ate Flor
Personally Known X OR Produced Identification Personally Known x OR Produced tification
Type of Identification Produced Type of Identification Produced
Commission No. nission No. ,,"
P(401;)';398-0153
SONIA DESTAF EY ;�''•....•....... ` ONIA DESTAFN
MY COMMISSION#FFt 5 MY GG)MMISSION#P21-5420
' • EXPIRES May 21,2018
oEXPIRES May 21,2018 9°„`•Revised 07/15/2014 " (407)398-0153 FloridallotaryService.com
FloridallotaryService.com
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