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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: II ' ILP - as Permit Number: Building Permit Application NOV 1 6 ` e Planning and Development Services PEPMlTl7iNG 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 XXCXXXXX PERMIT APPLICATION FOR: Roof PRCQPOSED IMPROVEMENT LOCATION Address: 14263 CANCUN FT. PIERCE, FL 34951 Legal Description: SPANISH LAKES FAIRWAYS Property Tax ID#: 1306-111-0001-000-0 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 ROTr�-- INSTALL ASTM-226 30# UNDERLAYMENT / INSTALL 26 GA METAL ROOF SYSTEM CONSTRUCTIOiV:IN �..- Additional work to be performed under this permit—check a appy: HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric Plumbing OSprirfklers Generator Roof Total Sq. Ft of Construction: 1,850 6,950 S . Ft.of First Floor: Cost of Construction:$ Utilities: _Sewer Septic Building Height: 01NNER/LESSEE :CONTRACTOR Name WYNNE BUILDING CORP/LEON SERDYNSKI Name: JOE BAKER Address:12804 SW 122ND AVE./14263 CANCUN 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.772-468-8752 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: ASMUSSEN ENGINEERING Name: Address:P.O.Box 1998 Address: City: OKEECHOBEE State: FL City: State: Zip: 34973-1668 Phone: 863-763-8546 Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: xxx Not Applicable Name: WYNNE BUILDING CORP Name: Address: 12804 SW 122ND AVE. Address: City: MIAMI City: Zip: 33186 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 recoyrding your Notice of Commencement. Signature of Owner/Agent/Lessee Signature of Contractor/License Holder STATE OF FLORIDAI_ STATE OF FLQRJDA COUNTY OF ©�Z�GI�'l 0 k� COUNTY OF The for �,n,��instru ent was a knowledg d efore me The for Ding instrum nt was a knowledged before this ay of -eh4 20 n by this �ay of 20_1.(0by (Name of person acknowledging) (Name of person acknowledging) N V5 Cd �0 rn Qn (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) r2:A 03 Personally Known OR Produced Identification Personally Known_ OR Produced Identifications �M Type of Identification Produced Type of Identification Produced Commission No. ;�atL`✓ wardson `` A,+` ' ��a�h���� Commission No. � `>,�y dWards4n =a' ••� COMMISSION#FF12a216 May 21, 2018 SION#FF125!' ,*€ Win "-, hP_k_k WWW.AARONNOTARY.COM `; Revised 07/15/20��4"""`" ' � i 'ii� `� WW.AAR Nfl;:.i.`• u+ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS