HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: AUGUST 25, 2015 Permit Number:
RECEI '' N
Building Uh%plication
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: 6571 DULCE REAL AVENUE FORT PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS 6487 SPANISH LAKES BLVD; PHYSICAL ADDRESS 6571 DULCE REAL AVE
Property Tax ID#: 1306-111-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name: TIERNEY
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF TO DECK, RENAIL DECK TO CODE, INSTALL NEW PEEL &
STICK UNDERLAYMENT, INSTALL NEW SHINGLES ^' I ' t ,, if
3/12 PITCH OC DURATION NOA# 12-0309.01 �101� It I—Iwvu 00S��ea- VOtI _o
CONSTRUCTION INFORMATION:
Acid itiona I work toe nertorme under this permit—check a appy:
HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator W1 Roof
Total Sq. Ft of Construction: 1800 SFt.of First Floor:
Cost of Construction:$ 6,300.00 UtilitiesSewer Septic Building Height: 12'
OWNER/LESSEE: CONTRACTOR:
Name JOHN TIERNEY Name: CHARLES RICHARDS
Address:6571 DULCE REAL AVE Company: ALL AREA ROOFING
City: FORT PIERCE State:_ Address: 3921 S US HIGHWAY 1
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No.772-448-8725 Zip Code: 34982 Fax: 772-464-6600
E-Mail: 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 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 recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commerXing work or recording our Noti_cQ of Commencement.
s
nature of Owner/Lessee/Agent Signat Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
Thefor oing instru Hent was acknowledp-ed before me The for oing instrument was�acppknowledged before me
this! day of 2015 by this My of l�C 20 L�__by
(Name of person acknowledging) (Name of person acknowledging)
"W 2r�
(Signature No ary ublic tat f rid ) (Signatur of otary Pu Ic- a of
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission No. ?: ��; A DESTAFN mmission No. =::
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(407)398-0153 FloridallotaryService.com (407)398-0153 FloridallotaryService.com
Revised 07/15/2014
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