HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 0 7il
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
1
PROPOSED,IMPR"OVEMENT L"OCATLON; ,
Address: 8226 Cinnamon Ln, Port St Lucie, FL 34952
Legal Description: SAVANNA CLUB-PLAT ONE-BLK 8 LOT 12 (OR 2464-1348: 2679-2288)
Property Tax ID#: 3425-701-0147-000-8 Lot No. 12
Site Plan Name: Block No. 8
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILEDDESCRIPTION-O`F WORK
Reroof- Remove existing roof covering, dry-in and install new asphalt shingles.
Roof Pitch- 3/12
Roof Sq Ft-1064 sq ft
CONSTRUCTION"INfORM`ATION
Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1064 S . Ft.of First Floor:
Cost of Construction:$ 4740 Utilities:n Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:'
Name Brenda J Sutherland&Randall Avila Name: Michael Miller
Address:8226 Cinnamon Ln Company: Trade Winds Roofing, Inc
City: Port St Lucie State:FL Address: P.O Box 13208
Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.508-415-1125 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.: u
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
commen,cingweyk or reco ing your Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLOR19k
- � STATE OFF _1! ( C A
COUNTY OF < <� COUNTY OF T"
The fo oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 Uby this day of )�H(A' IrC- 20 by
(Name of person acknowle ging) (Name f person acknowledge g)
(Signature of Notary P lic- ate of Flo ' (Signature of Notary`Public-St of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
ICOL
Ask FELT Laa��E OANDEE
Commission No. N BLIC Commission No. FE0MOYNEOANDEE
STATE OF FLORIDA NOTARY PUBLIC
STATE OF FLORIDA
Comm;F-11-051120
263
Revised 07%15/2014 . � Expires 9/4/2017 Expires
9/4/ 01
Expires 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS