HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: `,
'104- 00
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
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PERMIT APPLICATION FOR: Roof
IPROP`Ost IMPR01/EMENT LOCATIONf
. . � ,.;
Address: 3716 Doral Ct, Port St Lucie, FL 34952
Legal Description: SAVANNA CLUB PLAT PHASE THREE BILK 43 LOT 33 (OR 1063-1100: 1110-2728: 2996-2985)
Property Tax ID#: 3425-705-0169-000-0 Lot No.33
Site Plan Name: Block No. 43
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETA"�L�ED DESCRIPTION 0 WORK z i ` ��� "� rE £
Reroof- Remove existing roof covering, dry-in with self adhering underlayment and install new asphalt
shingles.
Roof Pitch-3/12
Roof Scl Ft- 1504 sq ft
CONSTRUCTION INFORMATION , s f`t ��' } ��s ,
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Additionalwork to be performed under t is permit-c ec all appy:
HVAC 0 Gas Tank ❑Gas Piping In_Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator E Roof Roof pitch
Total Sq. Ft of Construction: 1504 S . Ft. of First Floor:
Cost of Construction:$ 7020 Utilities: Sewer F]Septic Building Height:
OWNER/LESSEE CONTRACTOR
Name Charles Schisano Name: Michael Miller
Address:3716 Doral Ct Company: Trade Winds Roofing,Inc
City: Port St Lucie State:FIL Address: P.O. Box 13208
Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.772-343-8805 Zip Code: 34979 Fax: 772-466-9725
E-Mail: Phone No. 772-466-9420 ,I
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.
SUPP,LMENTAiU5CONSTRUCTION LIEN LAWFINFORMATION r
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 fir t inspe tion. If you intend to obtain financing, consult with len r,or an'attorney before
commencinitwork of recording-your Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDU,4 STATE OF FLORIDA--,
COUNTY OF lA��\ COUNTY OF
The foFgoing instru ent was acknowledged before me The for oing instrument was acknowledged before me
this T day of VA 20 Liby this�day of Irk 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary ubState o orida) (Signature of Notary!Pub fic-SYl4e of Florida
� )
Personally Known °s OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification'Produced
Commission No. � �' Y�®�LYNE � Commission No. FELT
E9e&Ntve c�wDEE
STATE OF FLORIDA NOTARYPUBLIC
FF0511283 Nm Wo"11"FELORIDA
Expires 9/4/2017 COMM#FF051263
Revised 07/15/2014 moires 9/4/1017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ! SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS