HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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 XXXOOOCX
PERMIT APPLICATION FOR: Roof
PROPOS ED:1MP.ROVE�ME,Ntlb.0 TION
a,.
Address: 8594 FLORENCE DR. PORT ST. LUCIE, FL 34952
Legal Description: LA BUONA VITA COOPERATIVE UNIT/LOT 73 (OR 3784-1952)
1
Property Tax ID#: 3426-664-0072-000-2 Lot No.73
Site Plan Name: Block No.
l
Project Name:
Setbacks Front Back: Right Side: Left Side:
71 9I
.,
DETAILED DESCRIPTION OF WORK ;
- ; s �.>r .
MOVE EXISTING ROOF
REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM ON A 3/12 MOBILE HOME ROOF
CONSTRUCTION INFORIVLATIQN, E
Additional work toe e orme un er t is permit—c ec a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator W11 Roof
Total Sq. Ft of Construction: 1,100 S . Ft.of First Floor:
Cost of Construction:$ 4,980 Utilities:ll Sewer Septic Building Height:
i
OWNER%LESSEE LCONTRACTOR 1,i �`
Name DONALD EPLION Name: JOE BAKER'
Address:8594 FLORENCE DR. Company: BIG LAKE ROOFING&REPAIRS
City: PORT ST. LUCIE State:FL Address: 2699 NW 16TH BLVD.
Zip Code: 34952 Fax: City: OKEECHOBEE I State:FL
Phone No.772-236-9777 Zip Code: 34972 I Fax: 863-763-7662
E-Mail: Phone No. 863-763-7663 'I
Fill in fee simple Title Holder on next page(if different E-Mail: BIGLAKEROOFING@YAHOO.COM
from the Owner listed above) State or County License: CCC046939
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN Ti
;wn Ci
DESIGNER/ENGINEER: _Not ApplicableMORTGAGE COMPANY: !I Not Applicable
Name: ASMUSSEN ENGINEERING LLC Name:
Address:P.O.Box 1998 Address: f
City: OKEECHOBEE State: FL City: State:
Zip: 34973-1998 Phone: 563-76MS46 Zip: Phone: l
1
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 holderlto 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 respectIs ,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 nor-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.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORJ�A STATE OF FLORID�Q1 �
COUNTY OF �J I�-2� Gh O yj-�-Q COUNTY
The forgoi g instru ent was acknowledged before me The forgoing instrument was ac
knowledged before me
this�1a+of ,r- 20((e-by this day of 04 20_J� by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-Sti to of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of IdentificatigQrpduce Type of Identification,Produced
.�`�A P S'" p �9
Commission No. e�o' MMISSIOttAf 125216 Commission No. ;tie /e'�� Heather waruso�
EXPIRES: May 21, 2018 = COMMISSION#FF125216
'4i ���� www.AARONNOTARY.COM
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW I' REVIEW REVIEW
DATE
COMPLETE
INITIALS
f
' I