HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED-FOR APPLICATION TO BE ACCEPTED J
Date: �Q�O2�lt'� Permit Number: RECEIVE
•
Building Permit Application DEC 2 6 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 X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5305 MONTEGO CIR FT PIERCE, FL 34949
Legal Description: OCEAN RESORTS COOPERATIVE SITE 259 (OR 1136-2945: 2705-478)
Property Tax ID#: 1410-502-0259-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING FLAT ROOF AND INSTALL NEW FLAT ROOF
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof 212 Roof pitch
Total Sq. Ft of Construction: 585 Sq. Ft. of First Floor:
Cost of Construction:$ 1500 Utilities: Sewer Septic Building Height: 1 STORY
-OWNER/LESSEE: CONTRACTOR:
Name JOHN LEAMAN Name: CHARLES RICHARDS
Address:5305 MONTEGO CIR Company: ALL AREA ROOFING
City: FT PIERCE State:FIL Address: 3921 S US HWY 1
Zip Code: 34949 Fax: City: FT PIERCE State:FL
Phone No.772-489-0968 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: CCC132617
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 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
comm i work or recogding your Notice of Commencement.
s
Sig re of Owner/Lessee/Contractor as Agent for Owner Sign re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of ZP,C'a71 bt r 20 &-by thisa day of 20 1 by
CHARLES RICHARDS CHARLES RICHARDS
(Name of person acknowledging) (Name of person acknowledging)
a
( Ignature of Notary Public-State of Florida)
J ,i
ature of NotaryPub ic-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. ..Ay F111- (Se`F),ITHMASON
2ot►g;P�e��c FAITH MASON * MY COMMISSION#GG 003939
MY COMMISSION#GG 003939
m' c� EXPIRES:June 20,2020 �i*0"`4 DWadThu PWgo{NotaryServicea
Revised 07/15/2014 '�oFp�p POMMThtuBudgetNotary9ervicea
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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