HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0 ®�
Date: - �D Permit N
APR 20 2018
Building Permit Application
Planning and Development Services Permitting Depart ent
Building and Code Regulation Division St. Lucie County FL
2300 Virginia Avenue,Fort Pierce F134982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PRD POSED:IIVI'PROVEMENT-LC►CATION
F -
Address: 15146 Aguila Ave, Ft Pierce, FL 34951
Legal Description: Spanish Lakes Fairways SECT 6&7 TWP 34 Range 39
Property Tax ID#: 1306-111-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
ti
DETAILED DESCRIPTION„OF WORK
- = 1
Reroof- Remove existing roof covering, Dry in with self adhering underlayment and install new asphalt
shingles.
MOBILE HOME
COVNST.RUCTION_ INFORMATION _ � 3 z �k s ;:” t ,j � ,-
Additional work to be nertormed under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 OGenerator
Electric Plumbing Sprinklers Roof 312 Roof pitch
Total Sq. Ft of Construction: 1410 Sq. Ft.of First Floor:
Cost of Construction:$ 5,940 Utilities:Sewer E]Septic Building Height:
ODUNER/LESSEE CONTRACTOR
Name Wynne Building Corp& Nancy Cole 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: Ft Pierce State:FL
Phone No.772-466-2062 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 CONSTRUCTICIN,.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 Work pr re rding your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/Li nse Holder
STATE OF FLORID STATE OF FLORIDA �v �
COUNTY OF � .� COUNTY OF ,�lJl '�-
0
The forgoing instru ent was acknowledge before me The f r . instru ent was acknowledge before me
this C�'ay of 20�by this day of Y \ 20�by
Name of personm ingstatement Name of person making statement
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Pro uced
(Signature of Notary Public-St a of Florida) (Sign ure Notary Public-Stat of FloridPAicia Lyne Wilkin
PV* Felicia Lyne Wllkin VI'vniv
Commission No. Q OTARY PUBLIC Commission No. oOTARY PUBLIC
STATE OF FLORID �OF FLORIDA
Comm#GG103860 Comm#GG103860
r % Expires 9/4/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17