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HomeMy WebLinkAboutBuilding Permit Application i ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED' I ;2 Date: I Permit Number: 3 I LO ' -o I �13 I � I 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 PROPOSED'IMPROVEMENT,LO.CATION I t s � 'iI ' Address: 8246 Cinnamon Ct, Port St Lucie, FL 34952 Legal Description: SAVANNA CLUB-PLAT ONE-BLK 9 LOT 23(OR 3972-1614) I r Property Tax ID#: 3425-701-0170-000-8 I Lot No. I Site Plan Name: I' Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK , 8 ..gym. ., ... ,. Jk Reroof- Remove existing roof covering, dry in with self adhering underlayment a6d install new asphalt shingles. OBILE HOME I CONSTRUCTION INfORIVIATIPN: iA itiona wor to e e orme under this permit—check all appy: I E1HVAC Gas Tank Das Piping _Shutters Windows/Doors Electric ❑_Plumbing Sprinklers Generator LJ Roof 312 Roof pitch Total Sq. Ft of Construction: 1372 Sq. Ft.of First Floor I' i 6545 Cost of Construction:$ Utilities:0SewerOseptic Building Height: I I 01NNER%LESSEE .. CONTRA,,>TOR 'Name John&Debra Houck Name: Michael Miller I ; Address:6935 Taylor Rd Company: Trade Winds Roofing, Inc 'City: New Franklin State:OH Address: P.O. Box,13208 I, Zip Code: 44216 Fax: City: Fort Pierce , State:FL Phone No.330-687-1460 Zip Code: 34979 i ' 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 a@trad'ewindsrciofing.6om 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. I ' I I ' i I ' I S,l1PPLEMENTAL CONSTRUCI".I`ONLf;FN LAW IF 0N sl z DESIGNER/ENGINEER _Not Applicable MORTGAGE COMPANY: j Not Applicable Name: Name: Address: Address: ' iCity: State: City: i I State: ;Zip: Phone Zip: Phone: I (FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: j _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I 1 OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the'work alnd 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 thepermit holder10 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 pians,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 tion. If you intend to obtain financing, consult with lender 6r an attorney before commencin ork recorclJnS your Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/Lice i se Holder STATE OF FLORID STATE OF FLORIt `� COUNTY OF COUNTY OF T The forgoing instr ent wa acknowledg before me The fo oing Inst(��ent was.. cknow ledg before me this day of 20 by this day of V V \ 1� 120 by Name of person "ing statement Name of pe'rso making statement Personally Known ✓ OR Produced Identification Personally Known �, OR'Produced Identification Type of Identification Type of Identification I, Produced Produced i. (Signature of Notary Public- to of Florida (Signature of Notary Pu lic-I to of Florida) I Felicia L)n©Wilkin I ' g Ry UBLIC I;mRy4s' Fell L Wilkin Commission No. NOTF� Commission No. s -+STATE OF FLORIDA NO ;VUBLIC `z Comm#GG103860 STATE OF FLORIDA i I, Comm#GG103860 . E"d CY11011-U. 7-o �� Expires /4/2021 REVIEWS FRONT, ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETEDT I i i ij Rev.8/2/17 I I I