HomeMy WebLinkAboutRevisionALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1217/2015 Permit Number: 15 0�- O (oZ o
RECEP.' -D DEC p 7 201
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: i4-bkV+HA-WAV & FORT PIERCE, FL 34951
LA
Legal Description: Wd .30
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name:
Lot No.
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: 11
REMOVE EXISTING ROOF, REPLACE ANY DRY -ROT, RENAIL TO CODE, DRY -IN WITH
PEEL -N -STICK INSTALL SHINGLES y 1la
CONSTRUCTION INFORMATION:
J Jona work o Dnrrormed under thispermit - check all that appy:
HVAC Gas Tank E]Gas Piping Shutters E]Windows/Doors
_
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1400
Cost of Construction: $ 2400
5Ft. of First Floor: _
Utilities: Sewer Deptic
Building Height: 8
OWNE /LESSEE:
CONTRACTOR:
Name
Name: Wanda Gahn
Address: 14 La Villa Ct
Company: WWW Enterprises & Son, Inc.
City: Fort Pierce State: F1
Zip Code: 34951 Fax:
Phone No. 860-481-1344
Address: 6833 Lonesome Pine Trail
City: Fort Pierce State: FI
Zip Code: 34945 Fax:
Phone No. 772-465-9373
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: wwwent@netzero.com
State or County License: CCC1326015
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPP,LEMENTAL.CONSTRUCTION LIEN LAW INFORMATION:'
FRONT
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 vous Notice of Commencement. 117
_ Signature of Owner/
STATE OF FLORIDA
COUNTY OF
The forgoing instf�cn�t was acknowledgeefore me
I �\V1 e
this . day of V- 20 by
STATE OF FLORIDA
COUNTY OFSk LUc i -f
The forgoing instrument was acknowledged before me
this 1 dayof bQ-C 20\5 by
yJa o. Go"Ir,Y%
(Name of person acknowledging ) (Name of person acknowledging )
(Signature of Notary Pub4iL-Stale of Florida) dENs \o�\pa (Signature of Notary Pu�bli gc�f°XI9fSI�a. 6`
p�� QotF Pvb ��es g5at i
Personally Known OR Prod l��iffw- 10 \ Personally K Olf�smQbcg�,.lIle ifti i
Type of Identification Produce � es 0� P' Type of Identi ca^b0
Nod moo spO �oo•°� .'L = - ap�a
Commission No "�•"•. Mycpb¢$i„t� _ Commission No. (Seal)
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
COMPLETE
INITIALS