HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/3/2016 Permit Number: _
- NOV 0
Building Permit Application PERMITTINIG
Planning and Development Services St. Lucie County, FL
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: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 1 BOLERO FT PIERCE, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB (1 BOLERO FT PIERCE, FL 34951)
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:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF (MOBILE HOME)
(3/12)
CONSTRUCTION INFORMATION:
Additional work toe e orme under t —checkispermit a appy:
HVAC Ei Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric ❑Plumbing Sprinklers ElGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: 1810 S Ft.of First Floor:
Cost of Construction:$ 4800.00 Utilities:Sewer Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name EVELYN BEATON Name: CHARLES RICHARDS
Address:1 BOLERO Company: ALL AREA ROOFING
City: FT PIERCE State:FL Address: 3921 S US HWY 1
Zip Code: 34951 Fax: City: FT PIERCE State:FL
Phone No.617-699-2516 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC1326177
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: 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
commenpvng work or recording our Notice of Commencement.
li s
Sign tur of Owner/Lessee/Contractor as Agent for Owner Signa of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instru ent was acknowledged before me The for
by this oing instrument was acknowledged before me
this day of tr1J 20 L _
day ofk)Dt,P_PIV ,� 20 by
(Nam person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known_/Z�011 Produced Identification Personally Known 1 XOR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Y P111.9. FAMi MASON
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