HomeMy WebLinkAboutBuilding Permit Application 1 I {
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ;� I pc �� S
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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
PROPOSED;IIVIPRCaVEfVfENT.LQCATION
Address: 7731 McClintock Way, Port St Lucie, FL 34952 j
Legal Description: FAIRWAYS AT SAVANNA CLUB REPLACT NO. 1 (PB 57-40) BLK 74 LOT 16(OR 2452-1128)
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Property Tax ID#: 3424-800-0155-000-8 I Lot No.16
Site Plan Name: I Block No. 74
Project Name:
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Setbacks Front Back: Right Side: Left Side:.
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DETAILED DES�CRIPTION,OF WORK F.
Reroof- Remove existing roof covering, dry in with self adhering underlaymlent and install new asphalt
shingles.
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CONSTRUCTION'INFORMATION
Additional work to be i)ertormed' under this permit—check all apply: I
HVAC 0 Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric ❑Plumbing Sprinklers Generator El
_Roof Roof pitch
Total Sq. Ft of Construction: 2764 Sq. Ft.of First Floor:'
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Cost of Construction:$ 11485 Utilities: Sewer LJ Septic Building Height:
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CiWNER/LESSEE 4 CONTRACTOR :,
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,Name David Lehman Name: Michael Miller I`
Address:7731 McClintock Way Company: Trade Winds Ropfing, Inc
City: Port St Lucie State:FL Address: P.O. Box 13208 1
Zip Code: 34952 Fax: City: Fort Pierce ' !• State:FL
Phone No.95-243-3806 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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,SFUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone: i
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 1 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.
St. Lucie County makes no representation that is-granting a permit will authorize thepermit 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.
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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. f you intend to obtain financing, consult with lender or an attorney before
commencing w rk go rec ing your Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holdi er
STATE OF FLORI STATE OF FLORID
COUNTY OF_� lJ `'e— COUNTY OF � �ItCC
The forgoing Instrument was acknowledged before me The fgr�oIng instrument was,a, nowledged before me
this day of _ 20-Q by this 1,day of:���I 20]_:)by
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Name of person aking statement Name of perso making statement
Personally Known OR Produced Identification Personally Known 'Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Public-State f Florida) (Signature of Notary'Public-, tat f;Florida)
R Felicia Lyne Wilkin
Commission No. a NOTAO BLIC Commission No. R �f� \10Fel(,@-Ane Wilkin
g =STATE OF FLORIDA In �o NOTARY PUBLIC
Comm; GG10386d STATE OF FLORIDA
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Expires UW
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTL�eS9WAR4ROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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