HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB E INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number: I ^ i3si:-_�3
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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 IM'PR'OVEMENT LOCATION:
Address: 3703 Tanager PI, Fort Pierce, FL 34982
Legal Description: ESTATES OF LONGWOOD LOT 16 (0.55AC)(OR 1255-932:2547-1946)
Property Tax ID#: 2433-502-0016-000-2 Lot No. 16
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DET
AILED DESCRIPTION`OF..WORK-
Reroof- Remov existing roof covering, dry in and install new asphalt shingles.
Roof Pitch- � . e.x
Roof Sq Ft- 45 1
,CONSTRUCT!ON`I N FORMATION:
Additional work to b-g-5-efformed under this permit-check all that appy:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: 4561 SFt.of First Floor:
Cost of Construction:$ 16,035 Utilities:n Sewer Septic Building Height:
OWNER/LESSEE,:, CONTRACTOR:
Name David Wilbur Name: Michael Miller
Address:3703 Tanager PI Company: Trade Winds Roofing, Inc
City: Fort Pierce State:FL Address: P.O. Box 13208
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No.772-877-3021 Zip Code: 34979 Fax: 772-466-9725
E-Mail: Phone No. 772-466-9420
Fill in fee simple Title Holder on next page(if different E-Mail: Mike@tradewindsroofing.com
from the Owner listed above) State or County License: CC C057399
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,wails,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 withle er or an attorney before
commenci ork •r recordingour Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLORIna 4—
COUNTY OF �L �l � COUNTY OF `�
The forgoing instrument was acknowledged before me The forgoing instru7i► nt was acknowledged before me
this (Ce day of Y20 Jaby this U day of 20 -0 by
(Name of person acknowled ing) (Name of person acknowledging)
(Signature'of Notary Public- a e of Florida) (Signature of Notary Public- tate o lorida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FE08MLYNEGANDEE Commission No. FELICIALYNE(3ANDEE
NOTARY PU®LIC NOTARY PUBLIC
i DA STATE OF FLORIDA
Revised 07/15/2014 ®' Car pw F128 Comm11 FF051263
Expires 9/46097 EmAres 9!412017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
I N ITIALS