HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 3q�
Date:1r''),.I-la Permit Number: I
Building Permit Application NOV 16
Planning and Development Services PEPC,A17Ti aqr,
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXXXCXXX
PERMIT APPLICATION FOR: Roof
PRbPOSED IMPRO77 VEMENT LOCATION
Address: 9346 CARLTON RD. PORT ST. LUCIE, FL 34987
Legal Description: 34 36 38 W 1377.45 FT OF S 180 FT OF N 200 FT OF S 630 FT OF W 1/2 OF
SEC-LESS W 100 F-(5.28'AC) (OR 1372-233: 1528-192)
Property Tax ID#: 3234-333-0001-000-8 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 /I I
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CO'NST.RUCTION INFORMATION
Additional work to be nertormed under this permit—check a apply:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers a Generator W1 Roof
Total Sq. Ft of Construction: 1,800 Sq. Ft.of First Floor:
Cost of Construction:$ 6,930 Utilities:El Septic Building Height:
01NN`ER%LESSEE ':,,.CON.TR"ACTOR:
Name PAMELA PERKINS Name: JOE BAKER
Address:1164 HUNTERS HOLLOW RD Company: BIG LAKE ROOFING&REPAIRS
City: GOODE State:VA Address: 2699 NW 16TH BLVD.
Zip Code: 24556 Fax: City: OKEECHOBEE State:VA
Phone No.772-285-4349 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 CONSTRUCTION LIEN LAW INFORMATION: .
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: xxx Not Applicable
Name: ASMUSSENENGINEERING 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 BOLDER: xxx Not Applicable BONDING COMPANY: xxx 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 our Notice of Commencement.
Signature of Owner/,Agent/Lessee Signature of Contractor/License Holder
STATE OF
COUNTYOFODI�—��[ COUNTYOFOVDt----e�
(.�
The fgrgo'ng instrum nt was acknowledged before me The forgoing instrument was acknowledge before me
this �y of 20 4 by this -E��y of_�.� 120 ,y
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State o orida) (Signature of Notary
Public-State of Florida)
Personally Known�OR Produced Identification Personally Known 1` OR Produced Identification
Type of Identificati0 Produced Type of Identification Produced
..� ��� He OdaCommission No. ()Edwardson Commission No. .�. ..• •..e� 4
�,,.. ,•��; Heat"V' =a• '�'= COMMISSION#FF125216
MMISSION#FF125216 '"_= Ip�g: May 21, 2018
EXPIRES:
May ' ��r
%,,i1 i� i�,s �a 1gW+N.AAROid OTARY.
Revised 07/15/201�•,``�4f��s��q�` WWW.{1ARONNOTARY.COM i�n�
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