HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB INMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - tt'7 Permit Number: f C
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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
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION
Address: 42 La Villa Way, Fort Pierce, FL 34951
Legal Description: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED<DESCRIPTION OF WORK.
Reroof- Remove existing roof covering, Dry-in with self adhering underlayment, and install new asphalt
shingles.
Roof Pitch- 3/12
Product Approval- Shin les-FL10674-R10 / Underla ment- L-" — V
CONSTRUCTION INFORMATION
Additional work toe nerformed under this permit—check all appy:
HVAC D Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1288 S . Ft.of First Floor:
Cost of Construction:$ 5625 Utilities:n Sewer E Septic Building Height:
OWNER/LESSEE: �,z CONTRACTOR:
Name Wynne Building Corp&Kenneth Brian Bendall Name: Michael Miller
Address:42 La Villa Way Company: Trade Winds Roofing, Inc
City: Fort Pierce State:FL Address: P.O Box 13208
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.772-242-8656 Zip Code: 34979 Fax: 772-466-9725
L
: Phone No. 772-466-9420
ee simple Title Holder on next page(if different E-Mail: Mike@tradewindsroofing.com
he Owner listed above) State or County License: CC C057399
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
comme cin ork or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA
1
COUNTY OF �� 1 1, `� COUNTY OF� l �
The forgoing instD.fine t was acknowledged before me The forgoing instrument was acknowledged before me
this 2,day of 20 aby this 2 day of lorua 20 —a by
mlc,1 Lk
ALlI1 (kt
( ame of person acknowledging) (Name of person acknowledging)
_& --j�L'�_� 4-/w n_oA�
(Signature of Notary Pu lic-S to of F 'da) (Signature of Notary Pubic-StMe of Florida)
Personally Known \//OR Produced Identification Personally Known v OR Produced Identification
Type of Identification Produced Type of Identification Produced J-S a��
y FELI?JA CE GANDEE FELI�tA "YME GANDEE
Commission No. NOT BUC Commission No.
STATE OF FLORIDA NOTARY PUBLIC
;3 ou, —STATE OF FLORIDA
Expires 9/4/2017 Comm#FF051263
Revised 07/15/2014 Expires 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS