HomeMy WebLinkAboutBuilding Permit Application .i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y
Date: Permit Number: 161
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-IM ROVEMENT LOCATION:.
Address: 8017 Meadowlark Ln, Port St Lucie, FL 34952 !! !
THE PRESERVE AT SAVANNA CLUB-BLK 50 LOT 34 OR 1351-233;13821-2310
Legal Description: ( )
l
Property Tax ID#: 3425-706-0224-000-7 ! Lot No.34
Site Plan Name: i Block No. 50
Project Name:
:Setbacks Front Back: Right Side: Left Side:
SDE r y .,
TAILED DESCRIPTION.OF WORK 1a4
Reroof- Remove existing roof covering, dry in with self adhering underlayrrient and install new asphalt
shingles. I' '
CONSTRUCTION INFORMATION: 1;: ? 6 �`
,:Additional workto b e pe orme under this permit—check a v appy:
Ill 771
HVAC Gas Tank ❑Gas Piping _Shutters II ! Wihdows/Doors
ElElectric ❑Plumbing Sprinklers ElGenerator E] Roof 3 Roof pitch
I
Total Sq. Ft of Construction: 1736 S . Ft.of First Floor
;Cost of Construction:$ 7,570 Utilities: Sewer Septic Building Height:
'OWNER/LESSEE: . . CC+NTRACTOR
;Name John Gormly&Eleanor Gormly Name: Michael Miller
;Address:8017 Meadowlark Ln Company: Trade Winds Roofing, Inc
'City: Port St Lucie State:FL Address: P.O. Box'13208 ':
Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.772-323-4987 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.
I. 4
,SO PPLEMENTAL'CONSTRUCTION LIEN LAW 14FORIVIATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COM'PANY:i: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: P;hone:l',
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name: it
Address: Address: i
City: City:
Zip: Phone: Zip: Phone:
II
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit�to do th'e 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 co,venants'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 m'ay result in ydur 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
'commencing ork . r reqordingVogr Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contract or/License Holder
i
COUNTY FLORIDA i STATE OF FLORID \�'_ fly
� 1 COUNTY OF o��
The orgoing instrument was ac nowledged before me The for oing ins lent wasl'acknowledg d before me
this day of 200 by this day of ) /' 20Dby
ame o person aking statementName of person mng statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
'
Produced A Produced I;
s
(Signature of Notary Public-St of FITA811 Lyne Wilkin (Signature of Not_ary;Public-,StjVe of Florida)
� Vass
N TPA�Ry PUBLIC
Commission No. �� �STE•OF FLORIDA Commission No. �aR►AssMIN FjS �Lyne Wilkin
Z� Comm#GG10386d NOTA y PUBLIC
STATE OF FLORIDA
SNC 19 0 s 9/4/2021
�nC •19'10
I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTEEP 7Vf M6VE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
i
II
i, I1