HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i Permit Number. �� LJ
tiY
ID
Building Permit Application FEB 2 3 2016
Planning and Development Services PERMITTING
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: 5701 EAGLE DR
Legal Description: HOLIDAY PINES S/D-PHASE I-LOT 69(MAP 13/12S)(OR 926-1413:1675-570: 1804-1707;3361-1276;3741-1432,1434)
Property Tax ID#: 1312-500-0070-000-7 Lot No.69
Site Plan Name: Block No.
Project Name: WOOD
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 SHINGLE ROOF
7/12 HIP ROOF
TITANIUM UDL 25 FL 11602.1 GAF TIMBERLINE NOA 14-1022.20
CONSTRUCTION INFORMATION:
Additional work to be nertormed under tis permit—checka appy:
HVAC El Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3200 S . Ft.of First Floor: 2252
Cost of Construction:$ 9970 Utilities: Sewer Septic Building Height: 8'
OWNER/LESSEE: CONTRACTOR:
Name KENNETH WOOD Name: CHARLES RICHARDS
Address:5701 EAGLE DR Company: ALL AREA ROOFING
City: FORT PIERCE State:_ Address: 3921 S US HIGHWAY 1
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No.772-643-0292 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
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
comn-Wpcing work or recording our Notice of Commencement.
/L'tl A Luc 'L //0"a� s
_Signature of Owner/Lessee/Agent Si ure of Contractor/License H er
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 'kim � 201�by this 9aday of �eJ� 20 L�p by
CHARLES RICHARDS FS.RICHARDS �'•.,,,
(Name of person acknowledging _°"' ''"`�
SO DEST FENS f person acknowledging) /_°'` �. T NEY
=•i ; MY COMMISSION# 12542(
{' MY COMMISSION# F125420 �•
"�-y'p '.�k'oaFloa' EXPIRES May 2 2018
!Z t0 EXPIRES May 21, 2018
)(407)398.0153 Floridallota sery (407)398.0153 FloridallotaryServi m
ign ture o No ryublic-State of Florida) Ign re o ota Pu I tate 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