HomeMy WebLinkAbouttri-built_underlaymentsALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-10-2016 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
PROPOSED IMPROVEMENT LOCATION:
Address: 8290 Coquina Ave Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 8- BLK 92 LOTS 5 AND 6 (MAP 13102N) (OR 2742291: 361-2099)
Property Tax ID #: 1301-608-0108-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Waite
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Reroof partial roof due to a tornado in May Reroof was done in 2012
Roof is 3600 square ft on a 3/12 roof pitch. Reroof area is 950 square ft
Owens corning shingles FL10674-R11 Peel and stick FL16048-133
Additional work to bMGasTank
rtormea unaer tnis permit— cnecK all apply:
a HVAC ❑Gas Piping _ Shutters Q Windows/Doors
11 Electric F� Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 950 S Ft. of First Floor:
Cost of Construction: $ 2470.00 utilities:cn Sewer 11 Septic Building Height: 24"
OWNER/LESSEE:
CONTRACTOR:
Name Bernard Waite
Name: Richard A. Newland
Address: 8290 Coquina Ave.
Company: Richie the Roofer
City: Fort Pierce, State: FL
Zip Code: 34951 Fax:
Phone No_ 7724621792
Address: 6704 Santa Clara Blvd
City: Fort Pierce State: FL
Zip Code: 34951 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 of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: i 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 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
commencine work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Agent
_ s
ignature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �Z �_ £'t C i i COUNTY OF c.a
The forgoing instrum nt was acknowledged before me The forgoing instrumentwasacknowledged before me
this 'Z�clay of t c c,ct r,20 Eby this �r ay of mai 20 /C by
rt
(Name of person acknowledging) (Name of p6rson acknowledging )
(Signature of Nota ublic- State of Florida )
Pe OR Produced Identification
Type of Identification Produced —
Commission No.
Revised 07/15/2014
:MISTY BOBILU
atm.;r:!WiON #EES83700
&FIRES: LIAR 13, 2017
IZ 2n, "� 14
(Signature of NckTry Public- State of Florida )
P sonalI n OR Produced Identification
y dentification Produce
rr°Y ry VIM RMBILiN
Commission No. P'1I)IiSSIOIN#EE883700
w EXPIRES: LIAR 13, 2017
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REVIEWS
FRONT
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PLANS
VEGETATION
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COMPLETE
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