HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-19-2015 Permit Number:
RECEP. D NOV 242015
-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 X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 8274 SANDPINE CIR
Legal Description: LAKE LUCIE ESTATES PLAT NO. ONE LOT 28 (OR 1143-532; 3670-730)
Property Tax ID#: 3426-703-0042-000-1 Lot No.28
Site Plan Name: Block No.
Project Name: JONES
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF TO DECK, RENAIL DECK TO CODE, INSTALL NEW
UNDERLAYMENT, INSTALL NEW SHINGLES
6/12 HIP
TITANIUM UDL 25 - NOA 14-0603.18 GAF TIMBERLINE HD NOA 14-1022.20
CONSTRUCTION INFORMATION:
Additional work toe performed under t —checkispermit a appy:
HVAC E] Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3600 S Ft. of First Floor: 2651
Cost of Construction:$ 11800 Utilities,
Septic Building Height: 9'
OWNER/LESSEE: CONTRACTOR:
Name PAULINE JONES Name: CHARLES RICHARDS
Address:8274 SANDPINE CIR Company: ALL AREA ROOFING
City: PORT ST. LUCIE State:_ Address: 3921 S US HIGHWAY 1
Zip Code: 34952 Fax: City: FORT PIERCE State:FL
Phone No.772-812-4230 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6600
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: CCC1326177
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x 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
commenWg work or recording our Notice of Commencement.
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Los'- s
_Sign re of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The fooing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this \q day of )�')OV 20 IS this day of 10 0 U 20 �by
P
`0ar�¢Y��' SONIA DES'TAFNE HARLESRICHARDS t "�v�a���
CHARLES RICHARDS ° �Y�� •;'ip 4%s,
(Name of person acknowle= COMMISSION#FF12542 Name of person ackno: _iii g`.f,`=
.e MY COMMISSION#FF125420
EXPIRES May 21, 201 �'
EXPIRES May 21,2018
(4®a13�$Ot FloridallotaryService.com (407)398-0153 FloridallotaryService.com
(Signaturef No a P lic- tate of Florida) Sig to Mota P lic-State of FloridaPersonally Known x OR Produced Identification Pers pally OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
COMPLETE
INITIALS