HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: yo Permit Number:
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�v NOV 6 )gin
Building Permit Applicati®n
Planning and Development Services PEP 41I-, fij,�G
Building and Code Regulation Division St. Lucie i,ounty, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXXXXXXX
PERMIT APPLICATION FOR: Roof
Y
PROPOSED IMPROVEMENT LOCATION
Address: 6712 TUCAN 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:
DETA�LE'D DESCRIPTION°OF WORK
REMOVE EXISTING ROOF
REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CO'IVSTRUCTION INFORMATION w
Additional work to be nertormed under this permit check all that appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers FIGenerator 7 Roof
Total Sq. Ft of Construction: 1,700 SFt.of First Floor:
Cost of Construction:$ 7,225 UtilitieslnSewer OSeptic Building Height:
01NNER%LESSEE CONTRACTOR
Name Wynne Building Corp/CARRIE FUQUAY Name: JOE BAKER
Address:12804 SW 122nd AVE/6712 TUCAN 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.772-913-1751 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: Not Applicable
Name: ASMUSSEN ENGINEERING LLC. Name:
Address:Po Box 1998 Address:
City: OKEECHOBEE State: FL City: State:
Zip: 34973-1998 Phone: 863-763-8546 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Wynne Building Corp Name:
Address: 12804 S W 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 Cawrding your Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLOR DA � _ ( STATE OF FLORID _ {
COUNTY OF ()�C.� n �' COUNTY OF ( )�L,�--P U'l o
The for ng instrument was acknowledg d before me The for o*g instrument was acknowledg d before me
this MTRy of �( 20�V by this�day of_� 1� 20�4 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-Sta a of orida) (Signature of Notary Public-State o Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produ c� rrr
.`t�:?-Lela_r
Commission No. " s$ �"
Wer)Edwar son Commission No. C@IiION#FF125216
= __ COMMISSION#FF125218 �, � EXPIRES: May 21, 2018
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