HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: 1/5/17 Permit Number:
Building Permit Application
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: 7805 WESTMONT DR FT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 3-BLK 22 LOT22(MAP 13/11S).(OR410-904; 3420-1442)
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Property Tax ID#: Lot No.22
Site Plan Name: Block No. 22
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK: ;� {
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF
CONSTRUCTION INFORMATION: "I
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank 11 Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing ❑Sprinklers ❑Generator' E] Roof 512 Roof pitch
Total Sq. Ft of Construction: 2344 S . Ft.of First Floor:
Cost of Construction:$ 8680 Utilities:cn Sewer Elseptic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
NameANNAADAMS Name: CHARLES RICHARDS
Address:7805 WESTMONT DR Company: ALL AREA ROOFING
City: FT PIERCE State:FL Address: 3921 S US HWY,1
Zip Code: 34951 Fax: City: FT PIERCE I State:FL
Phone No.772-461-1208 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
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.!
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ;I �4
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: i hone:
I certify that no work or installation has commenced prior to the issuance of a permit. j
St. Lucie Countv 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 fall 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 l ses 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.
ZZ e:r'� Ili 12Ahll A61" &X"& —S
Signature of Owner/Lessee/Contractor as Agent for Owner Signatu f Contractor/License older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrumient was acknowledged before me
this day ofd 20 Eby this day of CO 20 LZ by
CHARLES RIC HARDS CHARLES RICHARDS
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Si ature of Notary' Public-State of Florida)
Personally Known OR Produced Identification Personally Known l/0 Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. AVf POD. (SeaIMASON Commission No. t�Ypo (Seal)
* * MY COMMISSION#GG 003939 �°.•"•• o FAITH MASON
* * MY COMMISSION#GG 003939
e oBonded Tnru Bud®ie 20,2020 8arvices N' a IRES:June 20,2020
Revised 07/15/2014 OF FL a �aFFL
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION', SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE !
COMPLETE
INITIALS