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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED o
Date: Permit Number: 03^O I
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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
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PERMIT APPLICATION FOR: Roof
PROPOS'ED.,IMPROVEMtITT LOCA,10N
Address: 8218 E Bitterbush Ln, Port St Lucie, FL 34952
Legal Description: SAVANNA CLUB-PLAT ONE-BLK 2 LOT 20(OR 1732-740;3881;491)
property Tax ID#: 3425-701-0064-000-2 Lot No.
S ite Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK ,.', } ;
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
shingles.
MOBILE HOME
CONSTRUCTION INFORMATION } t '
Additional, work to eperformed under this permit-check a appy:
0
E1HVAC be
Gas
Piping _Shutters Elwin'dows/Doors
0 Electric ❑ Plumbing Sprinklers Generator Roof. 312 Roof pitch
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Total Sq. Ft of Construction: 1400 S . Ft.of First Floor: "
C 6490
,Cost of Construction:$ Utilities: Sewer�Se'ptic Building Height:
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.OWNER/LESSEE CONTRACTOR ,1�-; If
Name Henry Finn Name: Michael Miller
Address:8218 E Bitterbush Ln Company: Trade Winds Roofing, Inc
City: Port St Lucie State:FL Address: P.O. Box.13208 i
Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.772-361-3329 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
iIf value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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S.UPPLEMENTALCONSTRUCTfI:ON�LIEN LAW INFORMATION 4' I
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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
IName: Name: I
lAddreSs: Address: 1 !'
City: City: i
,Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
li 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 thepermit 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 resultan 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 o'r an attorney before
commencing ork r reoding your Notice of Commencement. !
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLORI 1
COUNTY OF o�l� COUNTY OF I,
Th (€�ing instr nt was a knowled before me The fo ing instr w s I owiedg efore me
this R'rr Tiay of 20U by this - ay of f Y \ 20y
rl I �
Name of person ing statement Name of p rso aking statement
Personally Known `� OR Produced Identification Personally Known OFi Produced Identification
Type of Identification Type of Identification;
Produced Produced
(Signature of Notary Pub is-Stat f Florida) (Signature of NotaryjPublic-State Florida)
ipy Felicia Lyne Wilkin
1 yqs Ffegl�ici�]Lyne Wilkin
Commission No. TARY PUBLIC Commission No. !' IVCD 174}4Y PUBLIC
o a ESTATE OF FLORIDA o ESTATE OF FLORIDA
Comm#GG103860 Com m#GG
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Expires 9/4/2021 cE Expir s 9/4/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE i
COMPLETED I
Rev.8/2/17 I
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