HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 a Permit Number: Irl O5'ds o co
' RECER .:D MAY 2 4 10
Building Kermit Xpplication
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�PROVEMENT;LOCATION" _
Address: 7917 Meadowlark Ln, Port St Lucie, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB-BLK 50 LOT 22(OR 1388-2349;3461-2598)
Property Tax lD#: 3 a�j,1 d�_oar a-C]00 —� Lot No.22
Site Plan Name: Block No. 50
Project Name:
Setbacks Front Back: Right Side: Left Side:
[7D, DESCRIPTION,OF WORK
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
shingles.
Roof Pitch-
Roof sq Foot-2468
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CO,NSTRUCTION,INFORMATION
1
Acid
itiona I work to be ne ffo—ffim-e—a under tispermit—check a appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing []Sprinklers I Generator E] Roof Roof pitch
Total Sq. Ft of Construction: 2468 S Ft.of First Floor:
Cost of Construction:$ 10,470 Utilities:Sewer Septic Building Height:
OWNER/LESSEE:- CONTRACT40R
Name Lillian C Bolduc Name: Micheal Miller
Address:7917 Meadowlark 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.772-342-1472 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.
SURPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
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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 h lend or an attorney before
commenci w rk or,recordingour Notice of Commencement.
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Signature of Owner/Lessee/Contraclor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO IDA STATE OF FLORI f
COUNTY OF �.SI,A e— COUNTY OF Q �A uu
The, r�Qing instr nt�was acknowledged before me The forgoing instrument was acknowledged before me
this/t'�iay of ('1j _ _, 201_1 by this forgoing
of 20 by
l � trQ1 I 1 9� 0 1
(Name of person acknowl ging) (Name of person acknowle
6 &WJ_a'
(Si ature of Notary PAi--St a of Florida) (Signature of Notary PPublii--Stat o Florida
Personally Known�OR Produced Identification Personally Known `� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Q
Commission No.
CIA LYNE OANDEE F ( LYNE GANDEE
�
e ARY PUBLIC Im
j� Y PUBLIC
STATE OF FLORIDA -STATE OF FLORIDA .
• 051263
Revised 07/15/2014 Expires 9/4/2017 Expires 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
1 N ITIALS