HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-1-2016 Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade 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: x
Address: 8290 Coquina Ave Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 8- BLK 92 LOTS 5 AND 6 (MAP 13102N) (OR 274-2291: 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:
Tear off shingle roof replace with shingle roof
Roof is 3600 square ft on a 3/12 roof pitch.
Owens corning shingles FL10674-R11 Peel and stick FL16048-R3
CONSTRUCTION INFORMATION:
Additional work to be pertormed under this permit— check all apply:
HVAC LJ Gas Tank E]Gas Piping_ Shutters � Windows/Doors a
11Electric❑ Plumbing1:1 Sprinklers [ Generator 21 Roof
Total Sq. Ft of Construction: 950
Cost of Construction: $8470.00
OWNER/LESSEE:
Name Bernard 'Waite
Address: 8290 Coquina Ave.
S Ft. of First Floor:
Utilities: 0 Sewer[ISeptic Building Height: 24'
City: Fort Pierce, State: FL
Zip Code: 34961 Fax:
Phone No. 7724621792
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR.-
Name:
ONTRACTOR:Name: Richard A. Newland
Company: Richie the Roofer
Address: 6704 Santa Clara Blvd
City Fort Pierce State: FL
Zip Code: 34951 Fax: 866-610-8652
Phone No. 772-464-4329
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State: City: State:
Zip: Phone:
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 your Notice of Commencement.
nature of Owner/ Lessee/Agent
STATE OF FLORIDA _
COUNTY OF 5f-- (, G'C' C
The for oing instrument was acknowledged before me
this day of 59w7Le1,4 e 20 is by
(Name of person acknowledging )
(Signature of Nota Pub i�te of Florida )
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTYOF
The forgoing instrument was acknowledged before me
this _ day of _�E' �,� 20 JL by
/C�/
(Name cf person acknowledging )
/> Z'41
(Signatua of Nota Public- State of Florida)
EW,
-0R Pr uced ldennncauun
Per uced Identification n o 41'Q iLIlSTYBI)bil.;,y ��
entification Produ :e Type of Identification Produced �,'....o�
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Commission No. _" ' MAR 13,201, Commission No. ! `� 3�(� Ii.mr
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-t 3t* InRlrance
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS