HomeMy WebLinkAboutBuilding Permit Application I ,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/21/2016 Permit Number:
D01RECEI'.'_D OCT 24 2016 _
a
Building Permit Application OCT ? Z 21016
Planning and Development Services PER ITTING
Building and Code Regulation Division Sit. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34992
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5908 Sunset Dr., Fort Pierce, Florida 34982
Legal Description: INDIAN RIVER ESTATES-UNIT-08-BLK 71 LOT 3 (MAP 34/11S)(OR 3743-1469
Property Tax ID#: 3402-609-0681-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED'DESCRIPTION OF_WORK
Remove existing shingle roof.renail, replace any dry rot, dry-in with peel-in-stick and install new
shingles, and install r i,::.
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check a that appy:
HVAC Gas Tank Gas Piping Windows/Doors
11❑ ❑ pg ❑
Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 1700 S . Ft.of First Floor: 1700
Cost of Construction:$ 2400.00 Utilities 1SewerSeptic Building Height: 8
OIN,N'ER/LESSEE: =CONTRACTOR:
Name Melba J Morrison Name: Wanda Gahn
Address:5908 Sunset Dr Company: WWW Enterprises&Son, Inc.
City: Fort Pierce State:Fl Address: 8833 Lonesome Pine Trail
Zip Code: 34982 Fax: City: Fort Pierce State:FI
Phone No. Zip Code: 34945 Fax:
E-Mail: Phone No. 772-465-9373
Fill in fee simple Title Holder on next page(if different E-Mail: wandagahn@aol.com
from the Owner listed above) State or County License: CCC1326015
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
5
SUAPIEMENTAL CO,NSTRIJCTION LIEN LAW {NFfJRMATI�Nti p f
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 contlict 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/Lessee/Agent Signature of Contractor/License 1461der '
STATE OF FLORIDA STATE OF FLORI�A L
COUNTY OF � �)I'. 1-�c � COUNTY OF c
The forgoing instrument Vas acknowledged before me The forgoing instrument was acknowledged before me
this a° day of ac 20 by this day of CScA20 �6 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pub. -State of Florida) (Signature of Notary P lic-State of Florida)
Personally Known OR Produced Identification Personally Known OR Prod ced I ion
Type of identification Produced �- L e of Identification ProducedtiNs
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Revised 07/15/2014 oQ ea��a
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