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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: Permit Number: �J�1
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
,1kRMIT APPLICATION FOR: Roof
PROPOSED IMPROUEM -NT9LO'CAT,I' AMPs y
'Address: 3704 Crabapple Dr, Port St Lucie, FL 34952
-Legal Description: SAVANNA CLUB PLAT PHASE THREE BLK 43 LOT 14(OR 3765-936) ;I
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Property Tax.ID#: 3425-705-0150-000-4 Lot No.
Site Plan Name: i Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
iDETAILED DESCRIPTIONIN
Reroof- Remove existing roof covering, dry in with self adhering underiayment and install new asphalt
shingles.
MOBILE HOME
�CO'NSTRUCE I, N INFtORMATION y
�, .- ,,., ., ; , . . a ,
�A itiona wor to efiGasTank
orme under tis permit Y—c ec a appy: j ;i
11HVAC E]Gas Piping _Shutters Q windows/Doors
Electric ❑Plumbing Sprinklers ElGenerator Roof 312 Roof pitch
Total Sq. Ft of Construction: 1798 Sq. Ft.of First Floor.
Cost of Construction:$ 8085 Utilities: Sewer El Selptic Build•Ii ng Height:
OUVIVER/LESSEE `` COIVTRAC�TOR '
Name Helen EdsonHName: Michael Mille"
Address:3704 Crabapple Dr Company: Trade Winds Roofing, Inc
City: Port St Lucie State:FL Address: P.O. Box 113208 •j
Zip Code: 34952 Fax: City: Fort Pierce �I 'I State:FL
Phone No.561-303-5663 Zip Code: 34979 j 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.eom
from the owner listed above) State or County License: CC C05;7399
'if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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„SU,PPLEMENTAL CONSTRUCTfON LI,EN,LAW�INFORMATION,,� ,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPi NY: I Not Applicable
(Name: Name:
Address: Ad d ress:
City: State: City: I ,I State:
Zip: Phone Zip: Phone: I
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 'i Not Applicable
Name: Name: _
Address: Address:
City: City: II 1
Zip: Phone: Zip: Phone: I
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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. J
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
Itructure.Please consult with your Home Owners Association and review your deed for ainl'y 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
,ii 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 insp ction. if you intepid to obtain financing,consult with lend r o'r an attorney before
commencingAorVcir raording youVNotice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDAL., i STATE OF FLORID p
COUNTY OF \ COUNTY OF II ;lC�
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Thk1Q oing instru ent was acknowledged before me The forgoing instrument was cknowlecig efore me
this 1�"may of a �JV1 20�by this of L YC- '� 20 by
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Name of person king statement Name of per's'on making statement
Personally Known OR Produced Identification Personally Known \--"OR Proclu6cl Identification
Type of Identification Type of Identification)
Produced Produced
(Signature of Notary Pub -Stat f tori ) (Signature of_Notary Pub is-St qsf FI�� �Lyne Wilkin
1 RVgs
Felicia Lope Wilkin ;Q NOT RYI UBLIC
Commission'No. UBLIC Commission No. +STA �}�FLORIDA
rSTATE OF FLORIDA Comfn#GG103860
3 Comm#GG103860 'r�N 1 1I Fvnira
ce Expires 9 4/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAL ION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Rev.8/2/17
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