HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L
Date: 1 2.. to - i � Permit Number: I J
Building Permit Application DEC 9 6 2017
Planning and Development Services pCR fv11�.T.
Building and Code Regulation Division St. Lucie C
2300 Virginia Avenue, Fort Pierce FL 34982 F L
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 14 Camino del Rio S, Port St Lucie, FL 34952
Legal Description: Spanish Lakes Riverfront Sect 27 Twp 36 Range 40
Property Tax ID#: 3427-111-0002-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
shingles.
1 �
[CONSTRUCTION INFORMATION:
Additional work to be rtormed under this permit—check all that apply:
HVAC Gas Tank FIGas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers 1:1Generator ❑ Roof �2 Z Roof pitch
Total Sq. Ft of Construction: 1525 Sq. Ft. of First Floor:
Cost of Construction: $ 6660 Utilities: 0Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp & Ronald Halpin Name: Michael Miller
Address: 8000 S US Hwy 1 Ste 402 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.772-418-9379 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:
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.
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commendwork or recording our Notice of Commencement.
Signature of Own ek Lessee/Contractor as Agent for Owner Signature of tontr or/License Holder
STATE OF FLORI STATE OF FLORID
COUNTY OF �* `� A C k� COUNTY OF
The f rgoing in ment wascknowledged before me The f r ling instrument was acknowledged before me
this day of 20� by this day of VYLk ,20�"Ay
CA\cu i Y-0 < I Loi W ( If_haS_( IM ( I ( Xie
Name of per,sonJn aking statement Name of person aki g statement
Personally Known �/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Pu c-State of Florida) (Signature of Notary Publi -St of Florida
Commission No. FeliCLAO Wilkin Commission No. t Fe NF ne Wilkin
r NOTARY PUBLIC �� N PUBLIC
-ESTATE OF FLORIDA -+STATE OF FLORIDA
103860
Com Ir 9/4!2021
REVIEWS FRON t 0L0 $9/ IRVISOR PLANS VEGETATION SEATUR�� MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17