HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: /T � (� Permit Number: 044`1
RECEIVEDLac
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Building Permit Application NOV 21 2016
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSEDIIVI`PR01%EMENTLOCATION 'y � + y
Address: 5606 FT PIERCE BLVD FORT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK UNIT 4 BLK 35 LOT 3 (MAP 13/11 N) (OR 3488-2852)
Property Tax ID#: 1301-604-0153-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED�*aD" ESCR4 OftIPTION OFtWORK
$°r :ns*ar ;s: 4 L, .g-n ,,.• + 2,g r t, -....teas'?. ar?rc.w�q< „' #a' na, -,k,@a`,rcG"v+t ,..`t x «5�.� .,k;g' r.`ix"' ,.;. t4z.
TEAR OFF EXISTING SHINGLE AND FLAT ROOFS AND INSTALL NEW SHINGLE AND FLAT
ROOFS
CO.NSTRLICTifMNFORMATION
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Additional work toe nertormed under this permit—check appy:`
❑HVAC Gas Tank Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof 4:12 Roof pitch
Total Sq. Ft of Construction: / , J'03-5� S . Ft. of First Floor:
Cost of Construction:$ 12000 Utilities:n Sewer OSeptic Building Height:
OUVNER/LESSEE " j y CONTRACTOR ' x '
Name Ci Name: CHARLES RICHARDS
Address: S&D �A Company: ALL AREA ROOFING&WATERPROOFING, INC.
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City: 1CVEE State: Address: 3921 S US HWY 1
Zip Code: ✓"( l5 Fax: City: FORT PIERCE State:FL
Phone No. 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.
SUPPLE EENT{AL�CQNSTRU�C,TIQNL'IENLAWINFORMATION '
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
commencing work or recording you[_Notice of Commencement.
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Sikn4ure of Owner/Lessee ontractor as Agent for Owner Signa ure of Contractor/ (cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF FLORIDA COUNTY OF FLORIDA
The forgoing instrungent was acknowledged/before me The forgoing instrument was acknowledged before me
this (day of I —0bW , 20/ by this 2' day of NOVEMBER 20/�by
CHARLES RICHADS CHARLES RICHARDS
(Name of person acknowledging) (Name person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known U--*OR Produced Identification Personally Known_4 Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. _o��;`:°ti i�(Seal) FARHMASON Commission No. .arp& (Seal)
* * W COMMISSION#GG 003939 ••••.••4�2+ F (iH MASON
m e' EXPIRES.*JUN 20.2020 * "* AIyCOMMISSION#GG003939
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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