HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED I.
Building Permit Application FEB. 0 21018
Planning and Development Services Permitting Department
St. Lucie ounty
Building and Code Regulation Division ,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
Address: 8205 W Bitterbush Ln, Port St Lucie, FL 34952
Legal Description: SAVANNA CLUB -PLAT ONE-BLK 2 LOT 3 (OR 3368-2824)
Property Tax I D #: 3425-701-0047-000-7
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side
D,ETAILED:DESCRIPTION OF WORK: -
Left Side:
Lot No._
Block No.
Reroof- Remove existing roof covering, Dry in with self adhering underlayment and install new asphalt
shingles.
CONSTRUCTION 'INFORMATION::,
'_CONTRACTOR
Name Jeffrey Cohen
Name: Michael Miller
Additional work to be performed under this permit —check
HVAC Gas Tank 0Gas Piping
a
apply:
Shutters
Q Windows/Doors
City: Fort Pierce State: FL,l
Zip Code: 34979 Fax: 772-466-9725 11
Phone No. 772-466-9420
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
_
State or County License: CC C057399
Electric ❑ Plumbing
❑Sprinklers
Generator
Roof 312 Roof pitch
Total Sq. Ft of Construction: 1736
S. Ft. of First Floor:
Cost of Construction: $ 8,325
Utilities:
Sewer
El
Septic
Building Height:
OWNER/LESSEE
'_CONTRACTOR
Name Jeffrey Cohen
Name: Michael Miller
Address: 8205 W Bitterbush Ln
Company: Trade Winds Roofing, Inc
City. Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772-879-9870
Address: P.O Box 13208
City: Fort Pierce State: FL,l
Zip Code: 34979 Fax: 772-466-9725 11
Phone No. 772-466-9420
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: Mike@tradewindsroofing.com
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 IN'FORMATIOiv
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Ad d ress:
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencidR Arkr record iuiR vour Notice of Commencement.
Signature of Own4r/ Lessee/Contractor as`Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA �, 1 ` n �� p n I STATE OF COUNTY OFORID� \ I n 10 r
COUNTY OF `—�C" �}l, Ji �C `� �C
The f Ting in a was acknowledge fore me
this _day of 20_ y
�m �' C h aj—N 6)
Name of person ma/king statement
Personally Known N, OR Produced Identification
Type of Identification
(Signature of Notary PuMc- Sl*e of Florida )
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
F gl�yne Wilkin
N T`ARY PUBLIC
STATE OF FLORIDA
The forgoing instru ent was acknowledged before me
this __?_ day
of /�� `
V 0 20�by
—J fa \ � U_ K_
Name of pe�sonpk
ing statement
Personally Known v OR Produced Identification
Type of Identification
(Signature of Notary )ublic- S ate lorida )
Felicia Lyne Wilkin
Commission No. _qCQRY PUBLIC
STATE OF FLORIDA
Comm# GG103866
COUNTER `TROEVI W ires9�REVIEOR REVIEW I PLANS VREVIEWON I SEATURTLE
EWLE I MANGROVE
WVE
FRONT
FEB 0 2 2018
St. Lucie County