HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application FEB 0 2 2018
Planning and Development Services
Building and Code Regulation Division LST. Lucie County rmitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMP VEMENT LOCATION:
Address: 8 La Villa Ft 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:
FIDETAILED DESCRIPTION OF WORK: k6le fll(�Wkk I
Reroof- Remove existing roof covering, Dry in and install new asphalt shingles.
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a apply:
HVAC E]Gas Tank F]Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof 312 Roof pitch
Total Sq. Ft of Construction: 1512 Sq. Ft. of First Floor:
Cost of Construction:$ 6,079 Utilities:Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp&Tammy Solazzo 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.302-598-8632 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:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 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 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 workor recording our Wtice of Commencement.
Signature of Owner/Lessee/Contractor as ent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA - STATE OF FLORID
COUNTY OF S
�
�- d�,� Q COUNTY OF
The fsrgoing instr nt was acknowledged before me The forgoing instr e t was acknowledged before me
this"T day of 20� by this day of Y(L_Q{ 20�by
Com► 1 A � l�,�.� 0& cKOA1NA \l �_LI/
Name of pe`rsonyaking statement Name of person m king statement
Personally Known V OR Produced Identification Personally Known=R Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary bli State �Florje 41a Lyne Wilkin (Si nature of Notary blic- ate of Florida)
t T RY PUBLIC F ici Lyne Wilkin
Commission No. �� OF FLORIDA Commission No. ► ' 'Y PUBLIC
'"' Comm#GG103860 STATE OF FLORIDA
1 10 x ires 9/4/20213)Comm#GG10_1AAd
Expires 9/4/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8J2/17