HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: A
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LRECETVff018
Building Permit ApplicationPlanning and Development Services Par tting J
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPti1CATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 15 San Felipe, Fort 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 and install new asphalt shingles.
CONSTRUCTION INFORMATION:
Additional work to be i)ertormed under this permit—check all apply:
HVAC Gas Tank ❑Gas Piping In Shutters 0 Windows/Doors
FlElectric ❑ Plumbing Sprinklers 0 Generator F] Roof 3/12 Roof pitch
Total Sq.Ft of Construction: I' 52 S .F�t. of First Floor:
Cost of Construction: $ 6745 Utilities:n Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp 8 Patrick Fussell 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.856-677-7372 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 acLOTdancti W(ffi t'ne appy VVE'd TAans,tone ftitnib-a bWidirrg Cr,iSes aT116 St. VUUTAy A need vents.
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
commencingAvork,or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE 01 FLCOUNTY OF ORIDA WC
I e COUNTY OF STATE OF FLORIDA S4 / , C ,�
The for oing instr ment was acknowledge before me The for oing instrument was a knowledged before me
this D day of 20S0 by this:day of 206�r by
no �c
Name of person"
mg statement Name of person ma ng statement
Personally Known OR Produced Identification Personally Known R Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Fr�d�� (Signature of Notary Pu ic-St of Flori a )
e rc yne Wilkin
Felicia Lyne Wilkin
Commission No. NOW PUBLIC Commission No. No"y PUBLIC
STATE OF FLORIDA STATE OF FLORIDA
Comm#GGIO3860
e Comm#GG103860
Expire s 97,412-02 1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17