HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:—Ol�r�of� Permit Number: v
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Building Permit Application NOV 16 a �L
Planning and Development Services PER?LiITTijJC
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 XXXXXXXX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 6514 ALEMENDRA ST. FT. PIERCE, FL 34951
Legal Description: SPANISH LKES 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 �Y)vb -r-
REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT ✓ f
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION INFORMATION:
Additional work to be nprtormed under this- permit—check all that appy:
❑_HVAC Gas Tank ❑Gas Pi _ Windows/Doors
Piping Shutters ❑
Electric ❑ Plumbing Sprinklers Generator 7 Roof
Total Sq. Ft of Construction: 2.000 Sq. Ft.of First Floor:
Cost of Construction:$ 6,950 Utilities: Sewer 0Septic Building Height:
,.OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp/NINA HASIOTIS Name: JOE BAKER
Address:12804 SW 122nd AVE/6514 ALEMENDRA ST. 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.772-466-4367 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.
,S,I)ITLEMENTA•L CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: ASMUSSEN ENGINEERING LLC. Name:
Address:Po Box 1996 Address:
City: OKEECHOBEE State: FL City: State:
Zip: 34973-1998 Phone: 863-763.8646 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Wynne Building Corp Name:
Address: 12604 Sw 122nd AVE Address:
City: MIAMI City:
Zip: 33186 Phone: Zip: Phone:
I cerfify 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 FLO IDA STATE OF FLORIDA
COUNTY OFCOUNTY OF
The f r instrurnept was acknowledge hefore me The�M' instrume t was acknowledg_ before me
this XcKaa of NDu 20 ftj)y thisof NOV 201 P by
(Name of person acknowledging) (Name of person acknowledging)
L��2g= — , qz� q=::�,
(Signature of Notary Public-State of Florida) ( I nature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification PrQAuIJ#%A#hep C IA12rdRnn Type of Identification Produced
kP P.B�TliL[ln� egawarason
Commission No. - COMt+ gN#FF125216 ;21 2018 Commission No. _ �'�" CO N#FF125216
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oPMay EXPIRES: May 21, 2018
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