HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2
Date: /0 �% �� Permit Number: �`� D �`�
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RECEIVED
Building Permit Application OCT 21. 2015
Planning and Development Services
9 AN NO
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXXXXXX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENTLOCATION:
f
Address: 11 MONTOYA FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE- 1301-111-0001-000-5
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF
WORK:
REMOVE EXISTING ROOF
REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION,INFORMATION:
Itlona wor to e e orme un er t Is permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
FlElectric F1 Plumbing OSprinklers F Generator ✓�Roof
Total Sq. Ft of Construction: 1,550 S . Ft.of First Floor:
Cost of Construction:$ 6,200 Utilities:,n Sewer E]Septic Building Height:
OWNER/.LESSEE: CONTRACTOR.:
Name WYNNE BUILDING CORP (VINCENT BOYLE-HOME OWNER) Name: JOE BAKER
Address: 12804 SW 122ND AVE Company: BIG LAKE ROOFING&REPAIRS
City: MIAMI State:FL Address: 2699 NW 16TH BLVD.
Zip Code: 33186 Fax: City: OKEECHOBEE State:FL
Phone No.305-235-3175 (HOME OWNER-610-331-7220) 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.
SUP.P,LEMENTAL CONSTRUCTION LIEN,LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: ASMUSSEN ENGINEERING Name:
Address:600 s PARROTF AVE. Address:
City; OKEECHOBEE State: FL City: State:
Zip: 34974 Phone: 6637763-8546 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 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.
/3 W. �
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA.
COUNTY COUNTY OF2e_ C—h a 6-e.p
The forgoing instrumen was acknowledged before me The for of g instrument was acknowledged before me
thisay of D0 h-y� 20 by this � y of 01J-QGa' ,20i by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known Y OR Produced Identification
Type of Identification Produced Type of Identification Produced
,.����� ea er • war son yher Edwardson
Commission No. `�' COM g�� N;f FF125216 Commission No. ,�Q.• �y�;=
EXPIRES: May 21, 2018 _ ;F_ COM ISSION¥FF125218
EXPIRES: May 21, 2018
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Revised 07/15/2014
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