HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ✓ u U�a
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Building Permit Application MAR 15 2018
Planning and Development Services Permitting De Paent
Building and Code Regulation Division St. Lucie C ntv
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 3107 Crabwood Ln, Port St Lucie, FL 34952
Legal Description: SAVANNA CLUB-PLAT TWP- BLK 12 LOT 14(OR 1336-2021)
Property Tax ID#: 3425-702-0101-000-7 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.
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CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check a rJapply:
HVAC OGasTank E]Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1402 S . Ft. of First Floor:
Cost of Construction: $ 6935 Utilities:l Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Florence Seitz Name: Michael Miller
Address:3107 Crabwood Ln Company: Trade Winds Roofing, Inc
City: Port St Lucie State:FL Address: P,0_ Box 13208
Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.772-342-0006 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 the permit 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 work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF COUNTY OF FLORIDA C_� , 1 I STATE OF FLORIDA A— A '
'�" V� COUNTY OF
The for oing instr ment was acknowledge before me The forgoing instr,�eent was acknowledged before me
this�day of ( C 20't by this�day of ` d Ct 20 1'�bby
C Y-)Co- \ ICY) A U_V- VN\ . C_ h 0.3 _li, Y-Y\ , � U_ V-
Name of person mng statement Name of person ing statement
Personally Known \--"-OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-St of Florida) (Signature of Notary Public Stat f Florida )
TpRYgs Felicia Lyne Wilkin
� t Ry C Lyne WilkinCommission No. N(b�AY PUBLIC Commission No. Q Assoo�N �RY PUBLIC
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STATE OF FLORID,^. STATE OF FLORID,^.
Comm#GG103860
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTJxp rU A4GK/�p
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17