HomeMy WebLinkAboutROOF - METAL ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: yxl _(31-.o
RECEI'-'�D '"3 05 2016
s
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 XXCXXXXX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENTLOCATION:
Address: 471 LA BUONA VITA DR. PORT ST. LUCIE, FL 34952
Legal Description: LA BUONA VITA COOPERATIVE UNIT/LOT 164(OR 3879-1288)
I
Property Tax ID#: 3426-664-0160-000-6 Lot No. 164
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED,DESCRIPTION OF-WORK:-
REMOVE
f_WORK:REMOVE EXISTING ROOF & REPLACE ANY ROT rj
INSTALL ASTM-226 30# UNDERLAYMENT `-�
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION "INFORMATION:
Additional work to be nertormed under this permit—check all th I appy:
1_1HVAC Gas Tank Gas Piping _Shutters Windows Doors
Electric ❑ Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 1,150 S Ft. of First Floor:
Cost of Construction:$ 5,750 Utilities:nSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name GREGG&BARBARA HENSON Name: JOE BAKER
Address: 1561 SE SUNSHINE AVE Company: BIG LAKE ROOFING&REPAIRS
City: PORT ST. LUCIE State:FL Address: 2699 NW 16TH BLVD
Zip Code: 34952 Fax: City: OKEECHOBEE State:FL
Phone No.301-751-4670 Zip Code: 34972 Fax: 863-763-7662
E-Mail: Phone No. 863-763-7663
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 LAW,INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: ASMUSSEN ENGINEERING,LLC Name:
Address:P.O.Box Address:
City: OKEECHOBEE State: FL City: State:
Zip: 34973 Phone: 863-763-8546 Zip: Phone:
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 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 sand 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 FLORIDA STATE OF FLORID
COUNTY OF -�Z( ,C7�}e.� COUNTY OF n j�,e �Z) � P
The for of g instrument was acknowledgpri hefore me The for ging instrument was acknowledged before me
this �1ay of 26 by this ay of 201 by
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known�OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Pro uced
a Ir EdwardsonCommissionNo. Y�•Commission No.
cher Edwardson
COMMISSION#FF125216 =?
018 =� = COMMISSION#FF125216
EXPIRES: Ma'v 21, 2018
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