HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ; 1j oZ' CND 8,5'
o
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: 90 Calle de Lagos, Fort Pierce, FL 34951
Legal Description: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK Y''{
Reroof- Remove existing roof covering, dry in and install new asphalt,shingles.
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CONSTRUCTION, INFORMATION. 'f 1
Additional work toe nertormed under this permit—check all appy:
HVAC OGasTank ❑Gas Piping _Shutters ElWindows/Doors
Electric ❑Plumbing Sprinklers 0 Generator I] Roof 312 Roof pitch
Total Sq. Ft of Construction: 1550 S6870 . Ft.of First Floor:.
Cost of Construction:$ Utilities: Sewer Septic ', 'Building Height:
OWNER%LESS:'E.; , CONTRACTOR : ''.
Name Wynne Building Corp&Dominick Borrelli Name: Michael Miller
Address:12804 SW 122nd Ave Company: Trade Winds Roofing, Inc
City: Miami State:FL Address: P.O. Box 13208 ;
Zip Code: 33186 Fax: City: Fort Pierce State:FL
'Phone No.772-409-4817 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
1from the Owner listed above) State or County License:
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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 INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name: {' I
Address: Ad d ress:
City: State: City: State:
.Zip: Phone Zip: Phone:
;FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
!Name: Name: V
;
,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 theiwork 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 thepermit 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 respect's,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 concurrencyreview-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 a'nd posted on the jobsite
before the 'rst 1,rv%pection. If you intend to obtain financing, consult wit lender or;an attorney before
comment' g w or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
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STATE OF FLORID I ' - STATE OF FLORIDA
COUNTYOF —� �L�IC I� COUNTY OF I, 'V�X�_`�
The Ing in ument was a knowled ed before me The for oing insS.ru�mLent was acknowledged before me
this day of CCrrl 20 by this Z_ of,\ 2m 20L/by
OKI, 1) 1V�I/
Name of person m king statement Name of person king statement
Personally Known �OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification!
Pr duced A Produced
(Signature of Notary P lic-State of Florida} (Signature of Notary Public-S a of;Florida)
Commission No.
MR4 eF��j}IIc{a Lyn°Wilkin Commission No. ' ' R q Felicia Lyne Wilkin
I�CkY PUBLIC 4 �, RY PUBLIC,
STATE OF FLORIDA !{
'N
z -STATE OF FLOPIIDA
Co m* G Comm#GG
103860
E Ex ires 9/4/2021 I 'WE—A1,0' Ex res 9/4/2021
j REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ;SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW j REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED +'
Rev.8/2/17 ,