HomeMy WebLinkAboutBuilding Permit Application I I �
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: A�l I&I" OU 0-
Building Permit Application
Planning and Development Services I j
Building and Code Regulation Division
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2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
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35
PROPOSFIX!MPROVEMENT LOCATION �.Y` y
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Address: 8499 FILIFERA CT PORT ST LUCIE FL 34952
Legal Description: SAVANNA CLUB PLAT THREE l
Property Tax ID#: 3425-703-0282-000-2 Lot No. 14
,Site Plan Name: i ! Block No. 27
Project Name:
Setbacks Front Back: Right Side: Left Side:
-04
DETAILED DESCRIPTION SOF WORK k ,sem i ' x ?
REMOVE ALL ROOF TO BARE WOOD. INSPECT SHEETING NAILS . REN,"AIL TO CURRENT
CODES IF APPLICABLE. INSTAL 30LB UNDERLAYMENT
INSTALL SHINGLES
CONSTRUCTION INFORMATION a m zu'
itiona wor to e e orme under this permit—check a app T.
HVAC fi Gas Tank ❑Gas Piping _Shutters ! windows/Doors
aElectric 0 Plumbing Sprinklers Generator Roof! 3/12 Roof pitch
Total Sq. Ft of Construction: 2000 S . Ft.of First Floor:
Cost of Construction:$ 5500Utilities: Sewer Septic Building Height: 1 STORY
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OWNER%LESSEE' 'f �Ys1 CONTRACTOR 3 i s v E
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Name ADA N MOHN Name: MICHAEL WILLIIAMS
Address:8499 FILIFERA CT Company: FAITHFULROOFERS LLC
City: PORT ST LUCIE State:FL Address: 712 SWGENLRALI PATTON TERR
Zip Code: 34981 Fax: City: PORT STI LUGIE State: FL
Phone No.7726340610 zip Code: 349531.1 1 ' Fax'
E-Mail: - Phone No. 772 684 0610
Fill in fee simple Title Holder on next page(if different E-Mail: MICHAEL6FAITHFULROOFERS.COM
from the Owner listed above) State or County License: CCC 1331265
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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-SUPPLEMENTAL CONSTRUCTION LIEN LAW INFO'RIVIATION }j j
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: s _Not Applicable
Name: Name:
Address: Address: I
City: State: City: State:
Zip: Phone Zip: Phone: '
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j FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: I Not Applicable
Name: Name: I
Address: Address:
City: City: i
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 resulfln 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 work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/Licen'se Hol r
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFCOUNTYOF
The forgoing instrAment was acknowledged before me Theforgoing instr Int was acknowledged before me
this "Iday of 2012 by this c�(lday of 20n by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known Ok Produced Identification
Type of Identification Type of Identification
Produced Produced F
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nature of Notary Public-Sta of Florida) (Signature of Notary'Public-St of;Florida)
Commission No. (Seal) Commission No. ! (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION + SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW I REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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