HomeMy WebLinkAboutBuilding Permit Application Ou
ALL APPLICABLE
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED wLa.
Date: Permit Number:
Building Permit Application APR 2 0 018
Planning and Development Services Permitting epartmen
Building and Code Regulation Division St.
LUCI C0Unt FL
2300 Virginia Avenue,Fort Pierce FL 34982 �r
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
Pi3OPOSEDIMPROVEMENT LOCATION h _ �`
Address: 78LOX eadowlark Ln, Port St Lucie, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB-BLK 49 LOT 20(OR 3962-1180)
Property Tax ID#: 3425-706-0179-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OFWORK
Reroof- Remove existing roof covering, Dry in and install new asphalt shingles.
MOBILE HOME
CONSTRUCTION INFORMATION
Additionalworktopenerformedunder this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors Oou--Se
Electric ❑_Plumbing Sprinklers Generator Roof I Z'1'4) oof pitch
Sq. 2951 (4112—CG o,r
Total S Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 13,350 Utilities-11 Sewer E Septic Building Height:
ODUNEFt%LESSEE AMR,;
Name Don Profant Name: Michael Miller
Address:7862 Meadowlark Ln Company: Trade Winds Roofing, Inc
City: Port St Lucie State:FL Address: P.O. Box 13208
Zip Code: 34952 'Fax:
City: Ft Pierce State:FL
Phone No.704-904-9060 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 GONSTR CT,ION LIEN LAIN INFORMATION4 ,3 4
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
commenci worX or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA I I ' STATE OF FLORIDA n
COUNTY OF L(,1C1 COUNTY OF ,
The f r oing instr gent w s acknowledged before me The r ng instru ent was a knowledg before me
this day of 20_L(a by this ay of Y 20by
:(N ch M`� __Q V'_ d'n a 4 .I Vv� , ) �_L-v
Name of person Oking statement Name of person 7king statement
Personally Known OR Produced Identification Personally Known I/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
U
(Signature of Notary Pu li tate of Florida) (Signature of Notary bli State of Florida)
t R Felicia Lyne Wilkin Z y Felicia Lyne Wilkin
Commission No. N( TAf y PUBLIC Commission No. EAOY PUBLIC
,z -+STATE OF FLORIDA STATE OF FLORIDA
Comm#GG103866 Comm#GG103866
xpir S
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17