HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUS BE SPMPLETED FOR APPLICATION TO BE ACCEPTED TT��
Date: ® Permit Number:
•
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 XXXXXXXX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATIOiV`
Address: 10725 S OCEAN DR LOT 84 JENSEN BEACH, FL 34957
Legal Description: HOLIDAY OUT AT ST LUCIE BLK L LOT 2 AND EQUAL PRO-RATA INTEREST IN COMMON
ELEMENTS(OR 3587-1762)
Property Tax ID#: 4511-501-0338-000-7 Lot No.2
Site Plan Name: Block No. L
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCIt 'PTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30#UNDERLAYMENT
INSTALL 130 MPH ARCH ITECTU L SHINGLES
CONSTRUCTION-INFORMATION: =
Additional work to ,e nerformed under this permit—check all appy:
HVAC L._J Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing OSprinklers I Generator a Roof
Total Sq. Ft of Construction: 700 S . Ft.of First Floor:
Cost of Construction:$ 3,980 Utilities:Sewer Septic Building Height:
OWN ER/LESSEE:`.'. CONTRACTOR:
Name PAMELA FLOYD Name: JOE BAKER
Address: 10725 S OCEAN DR LOT 84 Company: BIG LAKE ROOFING& REPAIRS
City: JENSEN BEACH State:FL Address: 2699 NW 16TH BLVD
Zip Code: 34957 Fax: City: OKEECHOBEE State:FL
Phone No.978-407-4178 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.
in
SUPPLEMENTAL CONSTRUCTION LIEN INFORMATIQR r
DESIGNER/ENGINEER: xxx Not Applicable MORTGAGE COMPANY: xxx Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: xxx Not Applicable BONDING COMPANY: xxx 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 1 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.
W W
300-00-
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDq� f 6-e
COUNTY OF Q �C�/1 D 6-e- COUNTY OF."' f71G-2� CiVI D -P
The forgoing instrument was acknowledged before me The forgoing instrumentwas acknowledged before me
this�1ay of Qt+'0 6-e-#— 201c by this 13t9y of D� � _r .20j by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
Y
)
Personally Known ,/` OR Produced Identification . Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.�"' "' He`aePEdwardson Commission No. . `
� ` Ather.Edwardson
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COMMISSION'�R:FF125216. _
Revised 07/15/2014 ,°�„4��``�� Www.AARONNOTARY.COM •. COM ISSIONOFF12-521
EXPIRES: May 21, 2018
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