HomeMy WebLinkAboutBuilding Permit Application I '
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: IT - h
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division i
2300 Virginia Avenue Fort Pierce FL 34982 I� /
Phone: (772)462-1553 Fax. (772)462-1578 Commercial Residential
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PERMIT APPLICATION FOR: Roof
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PROPOSED IMPROVEMENT LOCATION:
Address: 41 La Villa Way, Fort Pierce, FL 34951
Legal Description: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E j
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: i i Block No.
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Project Name: I
;Setbacks Front Back: Right Side: Left Side-
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DETAILED DESCRIPTION
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
shingles.
CONSTRUCTION INFORMATION:
Additional work to be vertormed under this permit—check i all tolhU❑ app yeHVAC E]GasTank Gas Piping Shutt,
rs Q
Windows/Doors
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Electric ❑Plumbing Sprinklers 1:1 Generator El Roof Roof pitch
Total Sq. Ft of Construction: 1600 SU
. Ft.of First Floor:,
(Cost of Construction:$ 8,385 Utilities:�Sewer Septic Building Height:
01NN
ER/LESSEE r .,CONTRAGTOR
!Name Wynne Building Corp&Paul Sjoman Name: Michael Miller
Address:12804 SW 122nd Ave Company: Trade Winds Roofing, Inc
City: MiamiState:FL Address: P.O. Box"13208 ;
Zip Code: 33186 Fax: City: Fort Pierce j I State:FL
(Phone No.508-736-2300 Zip Code: 34979 I' Fax. 772-466-9725
E-Mail: Phone No. 772-466-9420 j
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 IN! MAT IQIV
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:! Not Applicable
Name: Name:
Address: Address:
City: State: City: { State:
Zip: Phone Zip: ihone:!
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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.
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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 driother 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 for an attorney before
,commencing woik Q6,recoding your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/Licensed—older
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STATE OF FLORIDA, STATE OF FLORIDA
COUNTY OF
COUNTY OF
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The.forgoing in ument was cknowledged before me The forgoing instrument was; cknowledged before me
this day ofV 20 by this day of_�a ,20 by
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Name ofper making statement Name of person king statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
I Type of Identification Type of Identification
Produced A ed
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(Signature of Notary PuMc-StjWe of Florida) (Signature of Notary]Publi tate of Florida)
pzPR qs Felicia Lyne Wilkin SARYgs Felicia Lyne Wilkin
I Commission No. so�f�ARY PUBLIC Commission No. i QR pTARY PUBLIC
s a ESTATE OF FLORID,
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o ESTATE OF FLORIDA �o
z ?Comm#GG103860
Comm GG103860
Exp res 9/4/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ! SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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