HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: o 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 XXcXXXXX
PERMIT APPLICATION FOR: Roof —
,PROPOSED MPROVEMENLOCATIOIU:
Address: 27 EQUADOR WAY FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAItED,DESCRIPTION OF WORK:
REMOVE EXISTING ROOF & REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM IN��' �e ko-vv )
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all appy:
❑HVAC E Gas Tank Gas
1:1 Piping Shutters QWindows/Doors
1-1 Electric ❑ Plumbing Sprinklers _ enerator
W1 Roof
Total Sq. Ft of Construction: 1,600 S Ft. of First Floor:
Cost of Construction:$ 7,550 Utilities:�Sewer Septic Building Height:
'OWNER/LESSEE: CONTRACTOR:
Name WYNNE BUILDING CORP/RALPH TILESTON Name: JOE BAKER
Address:12804 SW 122ND AVE./27 EQUADOR WAY Company: BIG LAKE ROOFING&REPAIRS
City: MIAMI/FT. PIERCE State:FL Address: 2699 NW 16TH BLVD.
Zip Code: 33186/34951 Fax:, City: OKEECHOBEE State:FL
Phone No.201-878-2844 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 1998 Address:
City: OKEECHOBEE State: FL City: State:
Zip: 34973-1998 Phone: 883-763-8546 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 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 FLORID i� STATE OF FLORID
COUNTY OF. COUNTY OF
The forgping instrum t was acknowledged hafore me The for ppg instru w s acknowledged hefore me
this�day of I (� 201 by this day of by 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flor a) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known X1.4-R Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ��``��""' (tether Edwardson Commission No.
,a'w4'pe��,`S��ther Edwardson
COMMISSION 0 FF125216 °' `'
- = -- - - COMMISSION
=, KLF May 2 1, 2018
= EXPIRES: May 21, 2018
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