HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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
PERMIT APPLICATION FOR:
Roof I �
PROP.OSED.IM.PROVEMENT.LOCATIQN
6 Arboles del Norte, Fort Pierce, FL 34951
Address:
Legal Description: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E
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Property Tax ID#: 1 �- 111 be 1 ()W S 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 with self adhering underlayment and install new asphalt
shingles. ;
CONSTRUCTION INFORMATION !I' s
Additional work to be performed under this permit—check all appy: I ',
HVAC OGasTank ❑Gas Piping _Shutters �'+ Windows/Doors
Electric ❑Plumbing Sprinklers FIGenerator ,I Roof Roof pitch
Total Sq. Ft of Construction: 1316 S . Ft.of First Floor:
6830
Cost of Construction:$ Utilities: _Sewer Septic i Building Height:
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OWNER/LESSEE ,. CONTRACTOR:
,Name Wynne Building Corp&John Fitzgerald Name: Michael Miller j
,Address:12804 SW 122nd Ave Company: Trade Winds Roofing, Inc
City: Miami State:FL Address: P.O Box 13208
Zip Code: 33186 Fax: City: Fort Pierce -FLStateF
Phone No.860-201-6099 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@tradewind4ciofing.corn
from the owner listed above) State or County License: d,C C057399
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.i
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SUPP,LEMENTAL,CONSTRUCTION..LIEN LAW INFORMATION rl
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: r
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.
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 ell 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 an' 'Other non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may resultlin your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the firs inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing ork or reA%rding your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �p)` J e COUNTY OFA CJL�
The frgc ing in ment was acknowledged before me The for oing instrument wasaIck owledged before me
thisday of 20� by this W day of 0 k,- 20� by
Name of personking statement Name of ple�so�aking statement
Personally KnownORProduced Identification Personally Known Y OR!�Produced Identification
Type of Identification Type of Identificatio '
Produced Produced
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(Signature of Notary Public-Stat�aq��Flori(t%0cia Lyne Wilkin (Signature of No ary Pu ic- to of Florida)
NOTARY PUBLIC A Felicia Lyne Wilkin
Commission No. 9TAiE OF FLORIDA. Commission No. NOT OUBLIC
;l z Comm#GG103860 STATE OF FLORIDA
Expires 9/4/2621 �, Comm#GG10386()
VO M- V Expires
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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