HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MAST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-21-2016 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: To Select from dropbox, click arrow at the end of line
PR:QPQSED IMPROVEMENT LOCATtCN:
Address: 14200 Zorzal
Legal Description: Spanish Lakes Fairways
Property Tax ID #: 1306-111-0001-000-0
Site Plan Name: 14200 Zorzal
Project game:
Setbacks. Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: !
Tear off existing shingle roof install a peel and stick dry inn and new Owens corning shingles on a
3112 roof pitch
—Adclitional work to be nertormed under this permit — check all apply:
HVAC Gas Tank Gas Piping _ Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers 01 Generator Roof
Total Sq. Ft of Construction: 800 S . Ft. of First Floor: ^2nl
Cost of Construction: $ 2470.00 Utilities: Sewer Septic Building Height: 14'
OWNER/LESSEE:
CONTRACTOR:
Name John p1 lL c i<, g, ^
Name: Richard A. Newland
Address: 14200 Zorzal
Company. Richie the Roofer
City. Fort Pierce, State: FL
Zip Code: 34951 Fax:
Phone No. 772-473-6197
Address. 6704 Santa Clara Blvd
City: Fort Pierce State: FC
Zip Code: 04951 Fax: 866-610-8652
Phone No. 772-464-4329
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: richieroofer@yahoo.com
State or County License: 20506
If value of construction is $2500 or more, a RECORDED Notice OT Commencement is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:'
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 contlict 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 your Notice of Commencement.
Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF St Lucie
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF StL.6.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Z f day of —:7-L-, / 20 by this day of �� /� 20 & by
1 Cz� / E'"
(Name of person cknowiedging ) (Name of p son acknowledging)
(Signature of Not ry Public- State of Florida } (Signature of Nota ublic- State of Florida )
ers na O
T entificatian Produc
Commission No.
Revised 07/15/2014
Per �ay o OR Produced Identification
Type i kationProduced
My COMMISSION #EE883700
(MMES: MAR 13, 2017 1 Commission No.
Bonded io rough 1st State Insurance
( kea IFSiY BORIUN
MCOMMISSION #EE883700
EXPIRES: MAR 13, 2017
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