HomeMy WebLinkAboutBuilding Permit Application !ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: Permit Number: �� �C • � �
Building Permit Application
Planning and Development Services
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Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 j
Phone: (772)462-1553 Fax: (772)462-1578 Commercial j Residential
;PERMIT APPLICATION FOR: Roof l
PROPOSED IMPRO -EMENT-LOCATION
Address: 14293 Zorzal Ave, Fort Pierce, FL 34951 II
Legal Description: Spanish Lakes Fairways SECT 6&7 TWP 34 RANGE 39
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! p y 1306-111-0001-000-0
Pro ert Tax ID#: Lot No.
Site Plan Name: Block No.
(Project Name: l
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'Setbacks Front Back: Right Side: Left Sider i
DETAILED DESCRfPTION OF WORK ,h ,
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Reroof- Remove existing roof covering, dry in and install new asphalt shingles.
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x -ONSTRUCTIOpN INFORMATION
A itiona work to be performed under tis permit—check all app y:
! HVAC E]Gas Tank ❑Gas Piping _Shutters [DWindows/Doors
Electric ❑Plumbing Sprinklers F Generator E:]Roof Roof pitch
Total Sq. Ft of Construction: 1827 S . Ft.of First Floor'(
Cost of Construction:$ 8325 Utilities: Sewer 1:1 Septic Building Height:
OWNER/L
,. ESSEE CONTRACTOR:! ;
Name Wynne Building Corp&William Grimley Name: Michael Miller ! `
Address:12804 SW 122nd Ave Company: Trade Winds Roofing, Inc
City: Miami . State:FL Address: P.O. Box':i13208
Zip Code: 33186 Fax: City: Fort Pierce
State-FL
Phone No.772-467-0415 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 re4uired-. j
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION i
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: it '
City: City:
Zip: Phone: Zip: Phone: I
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 a'ny restrictions which may apply.
In 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 iadditions,
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 lender or an attorney before
commencinf(woA or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contract or/Lice der
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STATE OF FLORIDA � STATE OF FLORIDA
COUNTY OF COUNTY OF u
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Theo oing instrument was acknowledged before me The fo going instrument was,acknowledged before me
this day ofTiCIP— Y� �200 by this day of 0k 20N�2 by
Name of person king statement Name of person aking statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State Florida) (Signature of Notary,lPublic ate Florida}
Commission No. q RV s Felil� k a Wilkin Commission No. yA {R F ;iafL}�Lyne Wilkin
NOT, UBLIC I a� N�TARY PUBLIC
+STATE OF FLORIDA j �L J -+STATE OF FLORIDA
REVIEWS FRONT ZOIVNGes9 SUPERVISOR PLANS VEGETATION SEATURTLEp°f lVIA41VGR6VE
COUNTER REVIEW REVIEW REVIEW REVIEi' REVIEW REVIEW
DATE
RECEIVED
DATE F-1
COMPLETED
Rev.8/2/17
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