HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED, aa
Date: Permit Number:
;:,'DEC 0? OZl
Building Permit Application -
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County L
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
-PROPOSED IMPROVEMENT LOCATION,:
Address: 3701 Pebble Beach Ln, Port St Lucie, FL 34952
Legal Description: SAVANNA CLUB PLAT PHASE THREE BLK 41 LOT 52(OR 1070-2151)
Property Tax ID#: 3425-705-0053-000-4 i Lot No.52
Site Plan Name: Block No. 41
Project Name:
� I !
,Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONOF WORK:
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
shingles.
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CONSTRUCTION INFORMATION:-,.
Additionalwor to e e orme under is permit—check all appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters !❑Windows/Doors
❑Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof elm Roof pitch
Total Sq. Ft of Construction: 1740 S8,255 . Ft.of First Floor:
Cost of Construction:$ Utilities: _Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR.::
Name Paul Wolkiewicz Name: Michael Mille'
Address:3701 Pebble Beach Ln Company: Trade 1lUnds Roofing, Inc
((_ity: Port St Lucie State:FIL Address: P.O. Box!13208
Zip Code: 34952 Fax: City: Fort Pierce ! State:FL
!Phone No.631-488-8985 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 LIEN LAW INFORMATION: �f
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
pity: State: City: State:
Zip: Phone Zip: Phone: i
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: ! Not Applicable
Name: Name:
Address: Address:
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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 first i spection. If you intend to obtain financing, consult with N der or attorney before
&mmencing W6rk or reg9rding your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contract)r/Lice er
STATE OF FLORIDA STATE OF FLORID\
COUNTY OF ��- l,� �c_� COUNTY OFjQ
The for oing i ument was acknowledged before me The forgoing in trument wase cckn�oywledged before me
this day of 20_by this--I day of i iUl9' ,20� by
Name of person making statement Name of person maiming statement
Personally Known _,-/OR Produced Identification Personally Known l OR'Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of NotaryPublic-Statoof Florida) (Signature of NotaryPublic-!Stat&f Florida)
Commission No. FEff"LYNE GANDEE Commission No. FEUq( %r,E GANDEE
NOTARYI?UBUC NOTARY PUBUG
X, . ^_
STATE OF FLORIDA ! STATE OF FLORIDA
• F,�, !412017
REVIEWS FRONT Nlr� VISOR PLANS VEGETATION A TLTRTC MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW: JJ REVIEW REVIEW
DATE
RECEIVED �
DATE
COMPLETED
Rev.8/2/17
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