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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d I Date: OCT 30, 2015 Permit Number: Bdilding 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 X PERMIT APPLICATION FOR: Roof - Mda PROPOSED IMPROVEMENT LOCATION: Address: 190 SE CELESTIA CT PORT ST. LUCIE, FL 34983 Legal Description: RIVER PARK-UNIT 5 BLK 46 LOT 1 (MAP 34/28N)(OR 1710-852; 2530-1675: 3643-750: 3746-2766) Property Tax ID#: Parcel ID: 3419-540-0105-000-0 Lot No. 1 Site Plan Name: Block No. 46 Project Name: FARRINGTON Setbacks Front Back: Right Side: Left Side:, DETAILED DESCRIPTION OF WORK: TEAR OFF EXISTING ROOF TO PLYWOOD, RENAIL DECK TO CODE, INSTALL NEW ALL WEATHER BASE SHEET; INSTALL NEW CT MOD BIT ROOF NOA 14-0224.03 ��ch 2 I12 [CONSTRUCTION INFORMATION: Additional work toe e orme under this permit—check a appy: HVAC E] Gas Tank ❑Gas Piping _Shutters O Windows/Doors 11 Electric O Plumbing OSprinklers Generator W1 Roof Total Sq. Ft of Construction: 2,200 SFt. of First Floor: 1689 Cost of Construction:$ 7,950.00 Utilities: _Sewer Septic Building Height: 9 OWNER/LESSEE: CONTRACTOR: Name BARBARA FARRINGTON Name: CHARLES RICHARDS Address:190 SE CELESTIA CT Company: ALL AREA ROOFING City: PORT ST. LUCIE State:FL Address: 3921 S US HIGHWAY 1 Zip Code: 34983 Fax: City: FORT PIERCE State:FL Phone No.772-924-5056 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&TESTING 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 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 OF STLUCIE COUNTY OF STLUCIE The r oing instr ment was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 kS�_by this day of ©Ct ,20 A.S� by CHARLES RICHARDS CHARLES RICHARDS (Name of person acknowledging) (Name of person acknowledging) (Sign ture f Notaryubli State of Florida) (Signa ure o N tary ublic-State o lor' ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. SotitA)DESTAFNEY Commission No. (Seal) F + MY COMMISSION#FF125420 �«�yira •.,,s i*, My COMMISSION#FF1254 ry0P „.• Revised 07/15/201 (407)398.0153 FloridallotaryService.com o,. ��OPR�P•'' EXPIRES May 21, 201 (407)398.0153 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS