HomeMy WebLinkAboutBuilding Permit Application T I .
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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
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMP,ROVEMER,TLOCATION,
Address: 8146 Meadowlark Ln, Port St Lucie, FL 34952
Legal Description- THE PRESERVE AT SAVANNA CLUB-BLK 45 LOT 3(OR 1232-799; 3837-1259)
Property Tax ID#: 3425-706-0015-000-9 Lot No.3
Site Plan Name: Block No. 45
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I Project Name: i
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK rt JI `
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
shingles.
;CONSTRUCTION INFORMATION
!Additional work to be nertormed under this permit—c eca lapp y:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Do rs
Electric ❑_Plumbing Sprinklers 11 Generator E]Roof Roof pitch
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Total Sq. Ft of Construction: 1652 S . Ft.of First Floor:
,Cost of Construction:$ 7,390 Utilities: Sewer E]Septic I Building Height:
OWNER/LESSEE CONTRACTOR
Name John Fiorelli Name: Michael Miller
Address:8146 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.631-481-5535 Zip Code: 34979 Fax: 772-466-9725
E-Mail: Phone No. 772-466-9420 I
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 C067399
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN`IAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:] _Not Applicable
Name: Name:
Address: Ad d ress:
City: State: City: i State:
Zip: Phone Zip: Phone:i
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: j _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 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 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
commencing ork r recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA,----) ) � �
COUNTY OF \ � l COUNTY OF lit/l
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The forgoing i ent was acknowledged_before me The fg oing in ment was,,ac owledg efore me
this day of 20 by this l day of 21"r' -U 20I by
a�u f )v,� i M/
Name of persoaking statement Name of per'so aking statement
Personally Known V OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Pubic,S es f F#qidg dyne Wilkin (Signature of NotaryPu lic-' to of Florida)
NOTARY PUBLIC F lici Lyne Wilkin
Commission No. -.STA F FLORIDA Commission No. r s
'i' Comm#GG103860 ; �'PUBLIC
Expires 9/412021r, o STATE OF FLORIDA
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Expi s 91�/�p�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION i SEATURTLE UAW&E
COUNTER REVIEW REVIEW REVIEW REVIEW I' REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED j
Rev. 8/2/17
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