HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO r4UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ��\\
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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 XXXXXXXX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 35 CALLE DE LAGOS FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE - 1301-111-0001-000-5
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF-WORK:
REMOVE EXISTING ROOF
REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT f
INSTALL 26 GA METAL ROOF SYSTEM f
,,CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check a appy:
HVAC 0Gas Tank []Gas Piping _Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1,500 Sq. Ft. of First Floor:
Cost of Construction:$ 6,375 Utilities: Sewer[]Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name WYNNE BUILDING CORP/WAYNE CASE Name: JOE BAKER
Address: 12804 SW 122ND AVE./35 CALLE DE LAGOS 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.772-742-8112 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,CONS.TRUCTION 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: 863-763.8546 Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: (i r Name:
Address: - J Address:
City: Ma 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 thepermit 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 FLO IDA ( STATE OF F I O A
COUNTY
COUNTY OF L (�Vl r7 JL;C a C) -e
The for�g�Ir�ng instrument w s acknowledg before me The for of g instrument was acknowledge before me
this ay of 20 by this �ay of Z�(�f- 20& )y
�J 0-I� �6tl K-e� j-o �e i3a K-c--,r
(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 Produced
Commission No. (Se I Commission No. �eal)Heather Edward n
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DATE
COMPLETE
INITIALS