HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: C-i CYL-11—
'ECEIVED
Building Permit Application DEC 2 2 2015
Planning and Development Services PEWAITTING
Building and Code Regulation Division St, Lucie County,FL
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: 8008 Authurs Rd, Fort Pierce, FL
Legal Description: Lakewood Park-Unit 4-Block 26 Lot I (MAP 13/11S)(OR 3734-1676)
Property Tax ID#: 1301-604-0017-000-3 Lot No.1
Site Plan Name: Block No. 26
Project Name: 8008 Arthurs Roof Repair
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Repair leaky roof. Repair approximately 300 sq ft ( 3 sq) of flat roof and,
CONSTRUCTION INFORMATION:
Additional work tobe nerformed under this permit—check all tliat apply:
OHVAC 13 Gas Tank []Gas Piping FIShutters Windows/Doors F
13 Electric F] Plumbing RSprinklers F]Generator Roof
Total Sq.Ft of Construction: 400 sq ft S Ft of First Floor: 2,244
Cost of Construction:$ 2,100.00 Utilitiesll Sewer F]Septic Building Height: 12 ft
OWNERAESSEE: CONTRACTOR:
Name _Sftb Ftj,,a LP Name: John F.Durham
We'A '141q k tj e 5 ala Company: Durham Brothers, Inc.
City: State: Address: 1371 The 12th Fairway
Zip Code: '35YJ--;7- Fax: City: Wellington State:FL
Phone No. �&i '735-22E/ Zip Code: 33414 Fax: (561)491-19.97
Phone No.
(561)315-1835
Fill in fee simple Title Holder on next page if different E-Mail: johnfdurham@msn.com
from the Owner listed above) State or County License: CCC1 326757
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN MW INFORMATION:
DESIGNERANGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: 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
rp uested permit,I do hereby agree that I will,in all respects,perform the work
11
in accordance with the approved pla, A&ZFlorida Building Codes and St.Lucie County Amendments.
The following building permit appy tions are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimmin ools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER* our failure to Record a Notice of Commencement may result in your paying twice for
improvements t o property. A Notice of Commencement must be recorded and posted on the jobsite
before the fir ns ction. If you intend to obtain financing, consult with lender or an attorney before
commenci 0 worrecording your Notice of Commencement.
S* nar(ure 9,1'�� `r/Lessee/Agent� Contractor/Litense Holder TATE OF FLORIDA
=FLORIDA
COUNTY OF COUNTY OF_R.tp
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of. -41,
qki2- 20 by thisT44,N day of_
/—S tx 201T• by
C,
(Name of person acknowledging) (Name of person acknowledging)
LIZlz4
(Signature of*otary Public-State of Florida) (Sj%Ffereof Notary Public-State of Florida
Personally Known OR Produced identification Personally Known OR Produced ldentification,..�.t*,
Type of identification Pro uced Type of Identification Produced D
DORLAN J.MCGEEtatOk
Commission No. Cwo*"#FF 063514 Commission No.
Expim November 14,20il
.0 9 5
Revised 07/15/2014 oK Fes'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER— REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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