HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/23/16 Permit Number:
DECEIVE®
Building Permit Application DEC 2 8 2016
Planning and Development Services PERMITTING
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 x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 1681 BAR HARBOUR DR FT PIERCE, FL 34945
Legal Description: GOLDEN PONDS- 1681 BAR HARBOUR DR FT PIERCE, FL 34945
Property Tax ID#: 2303-211-0025-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF (MOBILE HOME)
CONSTRUCTION INFORMATION:
Acid(ditiona wor to e performed under this permit—check a app y:
L=MVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
0 Electric 0 Plumbing Sprinklers 11 Generator Roof 412 Roof pitch
Total Sq. Ft of Construction: 1404 S Ft.of First Floor:
Cost of Construction:$ 6580 Utilities:Sewer E]Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name MARK BENDER Name: CHARLES RICHARDS
Address:2810 FARRINGTON ST Company: ALL AREA ROOFING
City: ROSEVILLE State:MN Address: 3921 S US HWY 1
Zip Code: 55113 Fax: City: FT PIERCE State:FL
Phone No.763-923-3385 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.
SUPPLEMENTAL,CONSTRUCTION LIEN LAW INFORMATION:
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 thepermit 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 fi st inspection. If you intend to obtain financing, consult with lender or an attorney before
commiefici work or record_ipg your Notice of Commencement.
G(,
Si re of Owner/Lessee/Contractor as Agent for Ow Signa of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The forgoing inst ument was acknowledged before me The for oing instrument was acknowledged before me
this day of r �� 20 Eby this f7day of 20 �by
CHARLES RICHARDS CHARLES RICHARDS
(Name of person acknowledging) (Name of person acknowledging)
r
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. „ gyp��(Seal) FAITH MASON Commission No. (Seal)
* * W COMMISSION#00 00303 ro Rr, FAITH MASON
a 7 MIN 2020
r * MY COMMISSION#GO 003938
Revised 07/15/2014 /
OF WO BMW T""&'dQ*”&GMM �'IRES-June20,2020
NOW ftWW ft k,**No1ny ft*n
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS