HomeMy WebLinkAboutBuilding Permit Application I . i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
03 Date: Permit Number:
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Building Permit Application
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I'Planning and Development Services i
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
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Phone: (772)462-1553 Fax: (772)462-1578 Commercial i� Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENTLO`CATION '4, `� _' t 4
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Address: 6799 Tucan St, Ft Pierce, FL 34951 it
Legal Description: Spanish Lakes Fairways SECT 6&7 TWP 34 Range 39
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Property Tax ID#- 1306-111-0001-000-0 !i I Lot No.
Site Plan Name: I Block No.
Project Name:
'Setbacks Front Back: Right Side: Left Side
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'DETAILED DESCRIPTION OF W t Kq
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Reroof- Remove existing roof covering, dry in and install new asphalt shingles.
MOBILE HOME
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NSTR�ICTIQN I
CCNFORMATION
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A itiona wor to a performed un er t is permit—check TMall appy:
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HVAC Gas Tank ❑ 111-7-1 HVAC Piping _Shutters Windows/Doors
ElElectric ❑_Plumbing Sprinklers F�Generator i Roof 3 12 Roof pitch
Total Sq. Ft of Construction: 1428 S . Ft.of First Floor:.
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Cost of Construction:$ 5975 Utilities: Sewer Septic I'Building Height:
OWNER%LESS:EE ACTORaf
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Name Wynne Building Corp&Lorraine larusso Name: Michael Miller I!
;Address:12804 SW 122nd Ave Company: Trade Winds Roofing, Inc
City: Miami State:FL Address: P.O. Box j13208
Zip Code: 33186 Fax: City: Fort Pierce iI State:FL
772-429-1667 34979 ( Fax: 772-466-9725
Phone No. Zip Code:
E-Mail: Phone No. 772-466-9420 I;
Fill in fee simple Title Holder on next page(if different E-Mail: mike@a tradewindsr,''bfing.com
from the Owner listed above) State or County License: CC C057399
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. j
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,SUP(?LEMENTALCONSTRUCTION LIEN LAW INFORMATION n� "(
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
I Address: Address:
City: State: City: I State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name: I
Address: Address:
City: City: i; I
Zip: Phone: Zip: Phone: II
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 covenantsithat 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
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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 inspection.If you intend to-obtain financing, consult with lenderbe an attorney before
commencing work or recording our Notice of Commencement.
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Signature of Own&/Lessee/Contractor as Agent for Owner Signature of Contra ctor/Licen;se Holder
STATE OF FLORID STATE OF FLORID;
COU OF /� COUNTY OF C
Th ongoing instru t was ac nowled before me The fo oing instru M wash ack owledgefbefore me
thisW day of it�(j 2� by this ay of Ol rG 20 GU by
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Name of perso, n�►aking statement Name of pe on n aking statement
Personally Knowny OR Produced Identification Personally Known OR.Produced Identification
Type of Identification Type of Identification
Prod ced Produced
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(Signature of Notary Publi -Stat f Flori a) (Signature of Notary,Public-:8 tat6df Florida)
Felicia 1( �Adn Commission No. I els Sala Lyne bVllkin
- I Commission No. t R �s �h tYt
a NOTARY PUBLIC I ARY PUBLIC
j STATE OF FLORIDA g ,L -STATE OF FLORIDA
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REVIEWS FRONT ZON��1U�9�4 SUPERVISOR PLANS VEGETATION I SEA TURTLE MA GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE i
RECEIVED j
DATE
COMPLETED
Rev.8/2/17
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