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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _ �C` Permit Number: © r. �!/ED milli Building Permit ApplicatiFRE PR 2 0 2018Planning and DevelopmentServices Building and Code Regulation Division ng Degt_V�, F rnt 2300 Virginia Avenue,Fort Pierce FL 34982Phone: (772)462-1553 Fax: (772)462-1578 Commercial iig CoL PERMIT APPLICATION IFOR: Roof PROPOSED.IMPROVEMENT;LOCATI"ON Address: 3131 Crabwood Ln, Port St Lucie, FL 34952 Legal Description: SAVANNA CLUB-PLAT TWO-BLK 12 LOT 10 (OR 3647-442) Property Tax ID#: 3425-702-0097-000-5 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETALLED DESCRIPTION OF,INORK Reroof- Remove existing roof covering, Dry in with self adhering underlayment and install new asphalt shingles. MOBILE HOME CONSTRUCTION IN,FORIUTATION ., �. Additional work to be nertormed under this permit—check all apply: HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof 312 Roof pitch Total Sq. Ft of Construction: 952 S . Ft.of First Floor: Cost of Construction:$ 5,920 Utilities:]Sewer E]Septic Building Height: OWNER/LESSEE CO;NTRACTQR: Name Ronald Lecain Name: Michael Miller Address:22 Glenwood Ave Company: Trade Winds Roofing, Inc City: Dover State:NH Address: P.O. Box 13208 Zip Code: 03820 Fax: City: Ft Pierce State:FL Phone No.772-882-8477 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 LEEN 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 commencingporr recording our Notice of Commencement. Signature of Owner/Les ee/Contractor as Agent for Owner Signature of Contractor/Lidrense Holder STATE OF FLORIDA STATE OF FLORID., \ COUNTY OF COUNTY OF- The \ 9.C The forgoing instrument was a knowledg d before me The for ing instru ent was acknowledge before me this day of 20 by thisay of 20� by Im \F )Do � \ M k �A'uv- ffl ��Cha � � - VULI'/ Name of pe�rson�ing statement Name of perso aking statement Personally Known \/ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced A Pro uced (Signature of Notary Pub' -Stay of Florida) (Signature of Notary Public-Sthte of Florida) �t Felicia Lyne Wilkin Fel�l�te Wilkin Commission No. Q ®IPTARY PUBLIC Commission No. Fel&))�PUBLki IC STATE OF FLORIDA -+STATE OF FLORIDA e Comm#GGII 03860 �4 2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ,SEA TURTL�re 'MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17