HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: NOVEMBER 2,2015 Permit Number: 1
-.. RECEIVED NOV 04 2015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)4624553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof.- Nnda .
PROPOSED IMPROVEMENT LOCATION:
Address: 6503 FORT PIERCE BLVD
Legal Description: LAKEWOOD PARK-UNIT 7-BLK 78 LOT11 (MAP 13/02N)(OR 2255-109)
Property Tax ID#: 1301-607-0214-000-3 Lot No.�
Site Plan Name: Block No.
Project Name: 6503 FORT PIERCE
Setbacks Front Back: Right Side: Left Side:
DETAILED'DESCRIPTION OF WORK:
TEAR OFF EXISTING FLAT ROOF TO DECK, RENAIL DECK TO CODE, INSTALL NEW GLASS
BASE SHEET, INSTALL NEW CT MOD BIT TORCH ROOF NOA# 14-0224.03
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC Ei Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑_Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 351 Sq. Ft.of First Floor: i 8(p
Cost of Construction:$ 2450.00 Utilities: Ll_Sewer D Septic Building Height: 9
OWNERAESSEE: - CONTRACTOR:
Name DAVID SKINNER Name: CHARLES RICHARDS
Address:352 CHAMBERLAIN BLVD Company: ALL AREA ROOFING
City: FORT PIERCE State:_ Address: 3921 S US HIGHWAY 1
Zip Code: 34946 Fax: City: FORT PIERCE State:FL
Phone No.772-332-7627 Zip Code: 34982 Fax: 772-464-6600
E-Mail:DAVESINS@COMCAST.NET 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.
4 7015
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: FLORIDA 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: 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
commencing work or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OFSTLucIE
The fo oing instrument was acknowledged b fore me The forgoing instrument was acknowledged before me
this day of�/�y 20 acknowledged
this a day of 20 i'-by
CHARLES RICHARDS CHARLES RICHARDS
(Name of person acknowledging) (Name of person acknowledging)
'�" w K?[L�_
(Sign ture f Kory ublic-State of Florida) Ugt I re f o blic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. ..,,
.•••.�..P�a•. SONIA DESTAFNEY
>o�►AYPya4: SONIA DESTAFNEY ._�: c
...
EXPIRES May 21,2018
Revised 07/1$/2014 '''•'FoFo?: EXPIRES May 21, 2018
(407)398-0153 FloridallotaryService.com
(407)398.0153 FloridallotaryService.com
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