HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: FEB 2,2016 Permit Number:
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: 3118 OLD EDWARDS RD
Legal Description: 29 35 40 FROM NE COR OF SW 1/4 OF NW 1/4 OF NE 1/4 RUN S O DEG 17 MIN 20 SEC W 175 FT FOR POB,TH CONT S ALG SAME LI 87.5 FT,TH S 89 DEG 59
MIN 50 SEC W 201 FT,TH N 22 DEG 22 MIN 13 SECE94.42 FT,TH N 89 DEG 59 MIN 50SEC E 165.5 FT TO POB-LESS RD RM-(0.34 AC)(OR 1872-756)
Property Tax ID#: 2429-123-0001-350-6 Lot No.
Site Plan Name: Block No.
Project Name: CLEVINGER
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF TO DECK, RENAIL DECK TO CODE, INSTALL NEW UNDERLAYMENT,
INSTALL NEW METAL ROOF
GABLE ROOF 5/12 PITCH
TITANIUM UDL 25 FL 11602.1 koy,t PkU 5V GAL FL (1X02 (�?j
CONSTRUCTION INFORMATION:
Acid Itlona I work toe e orme under this permit–check a appy:
HVAC Ei Gas Tank ❑Gas Piping —Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: 2400 SFt.of First Floor: 2,500
Cost of Construction:$ 10,310.00 UtilitiesInSewer Septic Building Height: 9'
OWNER/LESSEE: CONTRACTOR:
Name BARBARA CLEVINGER Name: CHARLES RICHARDS
Address:3118 OLD EDWARDS RD Company: ALL AREA ROOFING
City: FORT PIERCE State:_ Address: 3921 S US HIGHWAY 1
Zip Code: 34981 Fax: City: FORT PIERCE State:FL
Phone No.772-882-4210 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: SONIA@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC1326177
1f 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.
A-AGL s
_Signature of Owner/Lessee/Agent Sign ure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OF STLUCIE
The forgoing instru e t was acknowledged before me The forgoing instrument was acknowledged before me
this e;C day of 20 Eby this0- day of 20 (�by
CHARLES RICHARDS °t�a!Po"a�•. SON CHARLES RICHARDS
Name of person ack Ouiil ii -) (Name of person o& n&( p 9 MY COMMISSION#FF125420 p � COMMISSION#FF125420
-'''fbr toa EXPIRES May 21, 2018 EXPIRES fvlay 21,2018
(407)398-0153 FforidallotaryService.com (407)398.0153 FloridallotaryService.com
IS, na u of Public-State of Florida) (Si turof ublic-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 SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS