HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 7�
Date: JAN 20, 2016 Permit Number: l 0 � _?0
Building Permit Application JAN 2 12016
Planning and Development Services PERWTTING
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: 1808 WALDEN POND DR FORT PIERCE FL 34945
Legal Description: GOLDEN PONDS- 1808 WALDEN POND DR
Property Tax ID#: 2303-211-0025-000-5 Lot No.
Site Plan Name: Block No.
Project Name: FOSTER
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
MOBILE HOME RE ROOF -TEAR OFF EXISTING ROOF TO PLYWOOD, RENAIL DECK TO CODE,
INSTALL NEW UNDERLAYMENT, INSTALL NEW SHINGLE ROOF
TITANIUM UDL 25 FL 11602-R3 OC OAKRIDGE FL 10674-R10
3/12 GABLE MOBILE HOME
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check a appy:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers Generator 71 Roof
Total Sq. Ft of Construction: 1200 SF S Ft.of First Floor:
Cost of Construction:$ 3900 Utilities:Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name ROBERT FOSTER Name: CHARLES RICHARDS
Address:1808 WALDEN POND DR Company: ALL AREA ROFING
City: FORT PIERCE State:_ Address: 3921 S US HIGHWAY 1
Zip Code: 34945 Fax: City: FORT PIERCE State:FL
Phone No.716-307-1964 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: 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 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. 42)
s
_Sign re of Owner/Lessee/Agent Sign re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LuciE COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20(_by this day of 20 _by
CHARLES RICHARDS CHARLES RICHARDS "' �Pti"•.,
tts`....esobill
(Name of person ac n c� ) (Name of person ack Je n MY COMMISSION#FF125420
o MY O®MMIA5I�N#+FFi �k `�
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(Sign ture tu Ic-State of Florida) (Si alure dhlotary Public-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. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS