HomeMy WebLinkAboutBlocking Diagrams ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l �/
Date: Permit Number: 1 l U-0 C
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 j
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVE M.ENT,LOCATION
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Address: 131 Calle de Lagos, Ft Pierce, FL 34951
Legal Description: Spanish Lakes Fairways SECT 6&7 TWP 4 RANGE 39
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Property Tax ID#: 1306-111-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION'OF WORK:
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Reroof- Remove existing roof covering, Dry in and Install new asphalt shingles.
Roof Pitch-2/12
Roof Sq Ft-1550
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CONSTRUCTION INFORMATION.
Additional work to be pertormed under this permit—check a app y:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator ❑Roof 2/12 Roof pitch
Total Sq. Ft of Construction: 1550 S . Ft.of First Floor.
Cost of Construction:$ Utilities: _Sewer Septic Building Height:
6405
OWNER/LESSEE CONTRACTOR c
Name Wynne Building Corp 8 Robert Johnston Name: Michael Miller
Address:12804SW 122nd Ave Company: Trade Winds Roofing, Inc
City: Miami State:FL Address: P.O. Boxl 13208
Zip Code: 33186 Fax: City: Fort Pierce State:FL
Phone No.732-244-8996 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.
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,SUPPLEMENTAL,CONSTRUCTION"LI,EN LAW INFQ.RMATIO:N
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
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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 (',ender or an attorney before
commencingAvorkor recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA, l
COUNTY OFCOUNTY OF J� l Q 9•C� e
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The forgoing instrument was a knowledged before me The for oing ins tru lent was Iacknowledg d before me
this V4 day of �OJe'�n � .20_0 by this day of O�.20 by
M ,(J) d M l I,Lr . � M I J (-t-K
Name of person aking statement Name of per;so, n raking statement
Personally Known OR Produced Identification Personally Known 1y OR Produced Identification
Type of Identification Type of Identification
Pr duced Produced ih
(Signature of Notary Pu ic-Stj of Florida) (Signature of otary Public-Stat f-Florida
Commission No. Felic(gWe Wilkin Commission No. ZpR qs T391 Lyne Wilkin
NOTARY PUBLIC Q s NOTARY PUBLIC
ESTATE OF FLORIDA g ESTATE OF FLORIDA
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�ro es 7N �° pi es 9/4/2021
REVIEWS FRONT sitz �RVISOR PLANS VEGETATION SEA RTL MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17