HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ,
- 1 Ji= >- RECEIVED
Building Permit Application FEB 0 2 2018
Planning and Development Services ST. Lucie County, Parn'01<9
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: 5842 Travelers Way, Fort Pierce, FL 34982
Legal Description: PALM GROVE S/D BLK D LOT 27(0.12 AC)(OR 1204-2384;2829-1052)
Property Tax ID#: 3410-503-0123-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Reroof- Remove existing roof covering, Dry in and install new asphalt shingles.
CONSTRUCTION INFORMATION:
Additional work toe Dertormed under this permit—check all apply:
HVAC OGasTank ❑Gas Piping _Shutters Windows/Doors
1-1 Electric ❑ Plumbing Sprinklers Generator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 2676 5 . Ft.of First Floor:
Cost of Construction: $ 10,375 Utilities:Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Dorothy McKenzie 8 Ronald McKenzie Name: Michael Miller
Address:5842 Travelers Way Company: Trade Winds Roofing, Inc
City: Fort Pierce State:FL Address: P.O Box 13208
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No.772-466-1675 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 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 ins ection. If you intend to obtain financing, consult with lender or an attorney before
commencing/workcommencing/work r recording our Notice of Commencement.
Signatur of Owner/L see/Contractor as Agent for Owner Signature o Contractor/License Holder
STATE OF FLORIDAs� � STATE OF FLORIDA n
COUNTY OF COUNTY OF "�
The forgoing insVumpnt was acknowledged before me The forgoing instr e t was ackndg before me
this�day of ✓ 20�y this�dayof owl 201 by
\C\k ft L\ MN LLQ V k c ho JJ diJI I1
Name of person mong g statement Name of person making statement
Personally Known OR Produced Identification Personally Known y�OR Produced Identification
Type of Identification Type of Identification
Produced A Produced
(Signature of Notary Pu lic-Stde of Florida ) (Signature of Notary Pubic-Stat of FI ida)
g Felicia Lyne Wilkin
R F_e)jcia Lyne Wilkin t�VQTARY PUBLIC
Commission No. S ARY PUBLIC Commission No. �S7ATE OF FLORID
a STATE OF FLORIDA z'
o �;,_ Comm#GG103864�
w Comm#GG103860 H 1 1�
N Ex ires 9/4/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17