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ALL APP CA LE INFO M T BELETED FOR APPLICATION TO BE ACCEPTED u
Date: Permit Number:
RECEIVED AUG 2 8 2015
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 xx
PERMIT APPLICATION FOR: Roof —
PROPOSED IMPROVEM'E'NT LOCATION:
Address: 14899 AGUILA AVE
Legal Description: SPANISH LAKES
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK ri
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a #.. �F
REROOF SHINGLE TO 5V METALL ROOF SYSTEM � 2— ,
7,500$ 2000SQFT c
CQNSTRUCTIO4INFORMATION
Additional work toe e Orme under this permit—check a appy:
HVAC Ei Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2000 S . Ft. of First Floor:
Cost of Construction:$ 7,500 Utilities:Sewer Septic Building Height:
OWNER%LESSEE: CONTRACTOR:
Name KEN PERKINS Name: JOSEPH KOLINOSKI
Address:14899 AGUILA AVE Company: ONSHORE ROOFING SPECIALISTS, INC
City: FT. PIERCE State:FL Address: 4401 SE COMMERCE AVE
Zip Code: Fax: City: STUART State:FL
Phone No.513-889-9994 Zip Code: 34996 Fax: 772-283-1557
E-Mail: Phone No. 772-283-1505
Fill in fee simple Title Holder on next page(if different E-Mail: INFO@ONSHOREROOFING.COM
from the Owner listed above) State or County License: CCC1328994
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SU'PPLEMENTAL'CONSTRcUCTION'LIEN LAWINFORMATION:.
pp MORTGAGE COMPANY: _Not Applicable
DESIGNER/ENGINEER: _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 in your paying twice for
improvements to your property. A Nice of Commencement must be recorded and posted on the jobsite
before the first 'Pspre, o If uintend to obtain financing, consult with lender or an attorney before
commenci work or reco our Notice of Commencement.
s
a ure o er essee/Agent Signature of Cont nse Holder
STATE OF FLORID (� ►I1 STATE OF FLORIDA
COUNTY OF COUNTY OF
The ng instru nt was ac �uledge�b re me The f rgo' g instr ent was ack owledged before me
this day of (� I 20 by thi9 u s day of 20 �by
Z i( IQ ( (J
(Nam f pe on acknowledging) (Name er acknowledgin
(Signature of Notary 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
Commission No. Commission No. i` ' HWAB
<oRY POB" SHR
�FnY PUa%�� SHREISS SCHWAB •o
a of Florida =a ": Notary Public-State o1 Florlda
Commisslon#FF 205427 = Go
Revised 07/15/201 `' p 2019 My Comm.Expires Mar 3,2019
"'�' � My Comm:Expires Mar 3, ••`
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