HomeMy WebLinkAboutBuilding Permit Application (4) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I� a
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 IMPROVEMENT LOCATION
Address: 3828 Sandlace Ct, Port St Lucie, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB-BLK 53 LOT 16(OR 3849-1299)
Property Tax ID#: 3425-706-0286-000-9 Lot No.16
Site Plan Name: Block No. 53
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF'WORK
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
S hingles.
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,C O_NSTRUCT' ION'IN- FORMATION LpT
Additional work to be pertormed under this permit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
0 Electric ❑_Plumbing Sprinklers ElGenerator 11 Roof Roof pitch
I
Total Sq. Ft of Construction: 1512 S . Ft.of First Floor:.
Cost of Construction:$ 6,615 Utilities:]Sewer ElSeptic I Building Height:
'0 N.ER LESSEE CONI"RACTOR
C i
Name Dennis Seitz&Debra Seitz Name: Michael Miller
.Address:3828 Sandlace Ct 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.315-323-2008 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. ;
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION fi ' i
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: ! i
Address: Address: ! I
City: State: City: State:
Zip: Phone Zip: Phone: i
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: i' ; Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit fo do the!'work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit. 1 y,
St.Lucie County makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants!fhat 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 mustbe recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender of an attorney before
commencipg work pr record)Dg your Notice of Commencement.
Signature of Owner/Lessee/Contract r as Agent for Owner Signature of Contractor/License Holder
STATE OF COUNTY OFORIDA��( � STATE OF FLORIDA--,1
\\ COUNTY OF
The forgoing ins me t was acknowledged before me The forgoing insY[�ent ytasj� <nowledged before me
this day of 20� by this day of M 20 ��by
iMl I Ley
C VT�
LLI---
\ V�(I P 1 '1
Name of pers n ma ing statement Name of person aking statement
Personally Known� R Produced Identification Personally Known OR?roduced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Publi -Stat f Florida) (Signature of Notary!Public-`State f FI idd 11
Felicia Lyne Wilkin I'', R cFe1124 Lyne WiMn
UBLIC
Commission No. q s NOTMI')PUBLIC- Commission No. j I`�', sOo,NO ����R�,a�11PFLORI
9 a =STATE OF FLORIDA i oSTTTE 044FLORIDA
9 'z 3 L Com GG103860
�; ®, Comm#GG903860 4/2021
REVIEWS', FRONT. ZONING SUPERVISOR PLANS VEGETATION l SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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