HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MU ! COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L� I -� Permit Number:
� • ��°� RECEIVED
Building Permit Application MAR 15 708
Planning and Development Services
Building and Code Regulation Division P@ tting Depa Trn:
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie rn..
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 30 Montoya, Ft Pierce, FL 34951
Legal Description: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site 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. `,� ,\�
4A
CONSTRUCTION INFORMATION:
Additional work to be oerformed under this permit–check all that apply:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
1-1 Electric ❑ Plumbing OSprinklers E]Generator E] Roof 3 12 Roof pitch
Total Sq. Ft of Construction: 1612 Sq. Ft. of First Floor:
Cost of Construction: $ 7,275 Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp& Edward Broomfield Name: Michael Miller
Address: 12804 SW 122nd Ave Company: Trade Winds Roofing, Inc
City: Miami State:FL Address: P O. Box 13208
Zip Code: 33186 Fax: City: Fort Pierce State:FL
Phone No.772-595-1752 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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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
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 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 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 lender or an attorney before
commencing rk or recording our Notice of Commencement. Iz
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID ` , 1 j STATE OF FLORIDA
COUNTY OF u i\ \ COUNTY OF
The forgoing instrI Lm�ent was kknowledge before me The forgoing ins�r ent was a knowledged before me
t is�day of V C\��f C" \ 20�by this day of\ , 20y
c h C�\ � C, Ch I I I
Name of person king statement Name of person/making statement
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced Pro uced
1
(Signature of Notary Public- tit ori (1A
Sig ture of Notary Public-Stat of Floriddd 11
�cla Lyne Wilkin i=eliCia Lyne Wilkir.
Oj�RY PUBLIC N aI PUBLIC
Commission No. ITE OF FLORIDA Commission No. 4 S e�F FLORIDA
K Comm#GG1038W U Comm#GG103866
� 4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17