HomeMy WebLinkAboutBuilding Permit Application .i
ALL APPLICABLE INFO MUST.BE COMPLETED FOR APPLICATION TO BE ACCEPTED,
Date: Permit Number:
D3- 019
MOM
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
PERMIT APPLICATION FOR: Roof
:'PROPC+SED IIVIPROUEMEN�TLO:CATtOtN 43 J� w �KFlu
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Address: 3701 Sandlace Ct, Port St Lucie, FL 34952 ;I
Legal Description: THE PRESERVE AT SAVANNA CLUB-BLK 52 LOT 1(OR 4085 1527)
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roperty Tax ID#: 3425-706-0258-000-4 ! Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION'OF'WORK ;r
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RerOOf- Remove existing roof covering, dry In with self adhering underla ment and install new asphalt
shingles.
OBILE HOME
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COwNSTRUC,T14 INFORM 4TI01V # IN.4
Iditiona workto a pe orme under this permit—check a apply:
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❑HVAC ❑Gas Tank Gas Piping _Shutters Windows Doors
ElElectric ❑Plumbing Sprinklers Generator ❑Rolf 312 Roof pitch
Total Sq. Ft of Construction: 1800 Sq. Ft.of First Floor:
Cost of Construction:$ 8580 Utilities: Sewer 0 Septic ' 'Building Height:
jOWNEk/LESSEE CONTRACTbR ' � I
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;Name Mario Pierorazio&Patricia Winchild Name: Michael Miller '
Address:3701 Sandlace Ct Company: Trade Winds Roofing, lnc
;City: Port St Lucie State:FL Address: P.O. Box 13208 1
Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.410-370-6603 Zip Code: 34979 Fax: 772-466-9725
i E-Mail: Phone No. 772-466-9420
!Fill in fee simple Title Holder on next page(if different E-Mail: mike@tradew indsroofing.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.
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`SUPPLEMENTAL=CQNSTR`UIwTICJN'"LIEN LAW INFORMATION , it �µ
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY. I_Not Applicable
Name: Name: I
Address: Address: it
City: State: City: II I `State:
Zip: Phone Zip: Phone:! 1
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: !_Not Applicable
Name: Name: I
Address: Address: !I I
City: City: II
Zip: Phone: Zip: Phone: I
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work land installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit. d
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 my rest�i'ctions!which may apply.
do 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. j
The following building permit applications are exempt from undergoing a full concurrency review:'roomiadditions,
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 a'nd posted on the jobsite
before the first inspe tion. If you intend to obtain financing, consult with I rider'or an attorney before
�commencing ork ecording your Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID 1 , 1 STATE OF FLORID i11;
COUNTY OF A�!� 1 �AJ�C �� COUNTY OF
The f. oing inst ent`was a knowledged before me The f r oing in { I n r acknowled before me
I this ay of 20� by this day of 1 \\ l.V� 1 ,20 by
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Name of person aking statement Name of p rson aking statement
Personally Known OR Produced Identification Personally Known ��OR Produced Identification
Type of Identification Type of Identification i
Produced Produced !
(Signature of Notary P tic- to of Florida l (Signature of No ary,Pub ic- a of Florida)
Felicia Lyne Wilkin I
tAR TARP PUBLIC R a Felicia Lyne Wilkin
Commission No. �g Commission No. ! NOT( OUBLIC
-+STATE OF FLORIDA ESTATE OF FLORIDA
o L Comm#GG103866 9! z Comm#GG103866
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ittit IV Expires 9/4120211
{I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
I DATE
COMPLETED
Rev.8/2/17
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