HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �+
Date: 10- - 15 –� Permit Number:
• RECEIVED
Building Permit Application NOVPlanning and Development Services N 2 2015
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: 6385 CHASKA ST FORT PIERCE, FL 34982
Legal Description: RIVERDALE YACHT CLUB ESTATES-UNIT 2-BLK 4 LOTS 24 AND 25(0.28 AC)(OR 984-991)
Property Tax ID#: 3409-703-0044-000-2 Lot No.24&25
Site Plan Name: Block No. 4
Project Name: MEYER
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
'' -e2 offl-eXIStl� 1'ao+ -0 GU-C , Y'�e.�� k �Ct= f0 C0CU r
insta.�l n� bas-e ,5kce4 , Ins4a ( ( new MU 6i
C rt M C d &-t QCa* 14-02Zq . 03
[CONSTRUCTION INFORMATION:
Additional work to
❑ e—e orme under this permit—check a _appy:
HVAC be
Tank [:]Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing []Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 500 S Ft. of First floor: 1373
Cost of Construction:$ Q Utilities:Sewer Septic Building Height: 9
OWNER/LESSEE: 'CONTRACTOR:
Name JAMES MEYER Name: CHARLES RICHARDS
Address:6385 CHASKA ST Company: ALL AREA ROOFING
City: FORT PIERCE State:FL Address: 3921 S US HIGHWAY 1
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No.772-528-0735 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: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: FL ENGINEERING Name:
Address:250 SW 13TH AVE Address:
City: POMPANO BEACH State: FL City: State:
Zip: 33069 Phone: 866-781-6889 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
commencmg work or recording o tice of Commencement.
"fes
L12 s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OF STLUCIE
The for oing instrument as acknowledged before me The for oing instrument was acknowledged_before me
this�day of ( C 20 by this day of (�C,fi 20 by
CHARLES RICHARDS CHARLES RICHARDS
(Name of person acknowledging) (Name of person acknowledging)
(SignQnavy
oof Notary ublic- to f FI rids) (Signat re of ota y Publi Sta Iorl a)
Per! nown x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. "'wiz; SQUTA DESTAFNEY Wmmission No.
*i '•= MY COMMISSION#FF1254 0 "p�6Q,� SONIA DESTAFNEY
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Revised 07/15/2014 (407)Sea ot53 FloridallotaryService.com ",4# �Fo EXPIRES May 21, 2018
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