HomeMy WebLinkAboutBuilding Permit Application I y
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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 j
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
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PROPOSED"IMPROVEIVIENT.LOCATION r' '!I {_
Address: 3817 Sleepy Hollow Ln, Port St Lucie, FL 34952
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Legal Description: SAVANNA CLUB PLAT PHASE THREE BLK 42 LOT 26(OR 1880-1258)
Property Tax ID#: 3425-705-0112-000-6 Lot No.26
Site Plan Name: ; Block No. 42
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Project Name:
Setbacks Front Back: Right Side: Left Side:'
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DETAILED DESCRIPTION OF.-WORK s'
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
shingles.
-CONSTRUCTION INFORMATION �� "I
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,Additional work to be Performed under this permit—check all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
ElElectric ❑Plumbing Sprinklers ElGenerator E] Roof Roof pitch
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Total Sq. Ft of Construction: 1540 S . Ft.of First Floor:'
,615
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ost of Construction:$ Utilities. Sewer E]Septic Building Height:
OWNER/LESSEE: = CONTRACTOR l.' ('¢
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IName Cherilyn Heitz Name: Michael Miller !'
Address:3817 Sleepy Hollow 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.772-285-3774 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
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONST,RUCTION�LIEN LAW�INFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:' Name: I.
Address: Ad d ress: I
City: State: City: i State:
Zip: Phone Zip: Phone:I.!
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: i Not Applicable
Name: Name:
Ad d ress: Address: L
City: City: I
Zip: Phone: Zip: Phone: I '
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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. j
St. Lucie County makes no representation that is granting a permit will authorize the permit holdlerl to build the subject structure .
which is in conflict with any applicable Home Owners Association rules,bylaws or and cobenantsjthat 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-residehtial 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 end posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with (ender or ap attorney before
commencing work,or Epcording your Notice of Commencement.
Signature of owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
j STATE OF FLORIDA p ` I STATE OF FLORIDi I,,
COUNTY OF \ COUNTY OF
The forgoing in��m--ent was cknowled ed before me The for going instrument was ac�c-Howl ledged before me
this�day of� r?p 20U�)by t is � day of CY? 20�by
Nc2h I 411 -�tckl 0 i'� �
Name of p son "aking statement Name of person making statement
Personally Known OR Produced Identification Personally Known_ OR Produced Identification
Type of Identification Type of Identification
Produced Produ ed
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(Signature of Notary Public-S e ofpljljc ft)_ (Signature of Notary;Public-St of Florida)
A11140s a is no Wilkin j.`p A Felicia Lyne Wilkin
Commission No. �NOT�AIfUBLIC Commission No. Asn NOT�'anUBLIC
® STATE OF FLORIDA
9,•-�z. i o a 'ESTATE OF FLORIDA
Comm#GG103866 9 ;°'Y
iN �b o „ Comm#GG10386d
Exp:res 9,4/2024
xpires I MrZUZ-1
. REVIEWS. FRONT ZONING SUPERVISOR PLANS VEGETATION I
I ISEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW I REVIEW REVIEW
DATE ! {
RECEIVED
DATE
COMPLETED j
Rev.8/2/17
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