HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: l T04 - Dc) V&
Building Permit Application
Permitting Departm
St de Countv
Residential
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
FEB. 0 2 2018
Commercial
Address: 8000 Meadowlark Ln, Port St Lucie, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB-BLK 45 LOT 33 (OR 3725-171)
Property Tax ID #: 3425-706-0045-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED. DESCRIPTION OF WORK
Reroof- Remove existing roof covering, Dry in with self adhering underlayment and install new asphalt
shingles.
OWNER/LESSEE _
CONTRACTOR:__
Name William Clardy & Nancy Jo Schreiber
Name: Michael Miller
CONSTRUCTION'INFORMATION:
Company: Trade Winds Roofing, Inc
City: ElversonState:fPr
Zip Code: 19520 Fax:
Phone No. 610-858-2286
Address: P.O Box 13208
Additional work to be pertormed under
HVAC Gas Tank
this permit --check
E]Gas Piping
all
appy:
_ Shutters
I
Q Windows/Doors
Electric ❑Plumbing
Sprinklers
Generator
Roof 312 Roof pitch
Total Sq. Ft of Construction: 1410
Cost of Construction: $ 6,560
S.
Utilities
Ft. of First Floor:
Sewer 0Septic
Building Height:
OWNER/LESSEE _
CONTRACTOR:__
Name William Clardy & Nancy Jo Schreiber
Name: Michael Miller
Address: 315 Steeplechase Dr
Company: Trade Winds Roofing, Inc
City: ElversonState:fPr
Zip Code: 19520 Fax:
Phone No. 610-858-2286
Address: P.O Box 13208
City: Fort Pierce State: FLI
Zip Code: 34979 Fax: 772-466-9725
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.
r—
SUP.PLEMENTAL,CONSTRUCTION LIEN LAW I;NFORIVIATION: _
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:
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencifiR vvbrk�Q)r recordinia vo)>a Notice of Commencement. 4 — �
of Owner/ Lessee/Contraaor as Agent for Owner I Signature of
Me rem
STATE OF TATE OF FLORID
COUNTY OF FLORIDA—�"�_ W_ c_- �'e COUNTY OF �A
The forgoing instru en was acknowled ed before me
this � day of 201�by
Y1� k r,hc� ` 11
Name of perso5,Kaking statement
Personally Known OR Produced Identification
Type of Identification
Produced
h`�m-y-ru W,il�
The four Ding instalment was acknowledged before me
this ay of 20 �� by
Name of person king statement
Personally Knowny OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public-.Vate of Florida ) (Signature of Notary Public- Stafe of Florid
t?`,+ r H)cia Lyne Wilkir,
Felicia Lyne !Wilkin .s :��; • ss
1q4?TARY PUBLIC
Commission No. (QRY PUBLIC Commission No.
WW%P
OF FLORIDA
STATE OF FLORIDA .. ' z = Comm# GG103860
Comm# GG103860 SE19►Expires 9/4/2021
i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
COMPLETED
Rev. 8/2/17