HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED aa
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 j a
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
RROPOSED IIVIPROVEIVI,EIVT`LOCATLON ; 'gm
Address: 8528 Marlberry Ct, Port St Lucie, FL 34952
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Legal Description: SAVANNA CLUB PLAT THREE BLK 23 LOT 32(OR 3169-271; 3466-13'8)
Property Tax ID#: 3425-703-0116-000-8 Lot No.
Site Plan Name: I Block No.
Project Name:
,Setbacks Front Back: Right Side: Left Side!
[.i,DETAILEb DESCRIPTION OF";,
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
shingles.
MOBILE HOME
CONSTRUCTION IN'FORMATIO`N N �
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a ,..
1 std 5
Additional work to be e orme un er t is permit—c ec a appy:
11HVAC Gas Tank Das Piping _Shutters Q Windows/Doors
3/12
Electric ❑ PlumbingSprinklers 0 Generator El
Roof Roof pitch
Total Sq. Ft of Construction: 1456 S . Ft.of First Floor:!
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;Cost of Construction:$ 8090 Utilities: Sewer EISeptic Building Height:
OWNER/LESSEE `` CONTRACrTOR'i' ='i ,
.._ _.
Name Mary Angelic Name: Michael Miller
jAddress:8528 Marlberry Ct Company: Trade Winds Roofing, Inc
!City: Port St Lucie State:FL Address: P.O. Box 113208
I Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.540-833-2696 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 LicI nse: CC C067399
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. ;
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:;t Not Applicable
Name: Name:
Address: Address:
City: State: City: i_ State:
Zip: Phone Zip: Phone:
FEESIMPLESIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: 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 covenantsthat may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for a'ny restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respea ts,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 u es 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 fender or an attorney before
commencin wor or reco ding your Notice of Commencement. I •
Signature of,Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF [ l — COUNTY OF ��` A"�Q
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Ther oing instru ent was a knowledg efore me The forgoing instr e wasa'cknowledgdbefore me
' this day of 20by this Jay of �( 20 by
l 1s�r
e of personn ing statement Name of rso ak'ing statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
! Produced Produced
(Signature of Notary Pub -Stay of Florida) (Signature of Notary Public-i
licJ ate of Florida)
F licca Lyne Wilkin z4RV4s Felicia Lyn®Wilkin
Commission No. M,1,1814
�y�TARY PUBLIC Commission No. NOTA PUBLIC
STATE OF FLORIDAI STATE OF FLORIDA
Comm#GG903860 Comm#GG903860
's'NCE� E Aires 9/4/2021
;Expires 9/ /2024
REVIEWS' FRONT ZONING SUPERVISOR PLANS VEGETATION ! SEATURTLE MANGROVE
I COUNTER REVIEW REVIEW REVIEW REVIEW I REVIEW REVIEW
DATE I
RECEIVED
DATE
COMPLETED
Rev.8/2/17 j
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