HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � �()S _
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Date: Permit Number:
-
RECEIVED J -
Building Permit Application MAY 0 7 2018
Planning and Development Services ST. Lucie County, rmitting
Building and Code Regulation Division — -___.
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: 1653 N 37th St, Ft Pierce, FL 34947
Legal Description: SUNLAND GARDENS BLK 23 LOTS 12 AND 13(0.24 AC)(OR 3276-140)
Property Tax ID#: 2405-601-0421-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
LDETAILED DESCRIPTION OF WORK:
Reroof- Remove existing roof covering, dry in : and install new asphalt
shingles.
CONSTRUCTION INFORMATION:
Add
itiona work to e e orme un der this permit—check IM app y:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric �Plumbing O Sprinklers []Generator �Roof 4 12 Roof pitch
Total Sq. Ft of Construction: 2818 Sq. Ft.of First Floor:
Cost of Construction:$ 13,200 Utilities:0 Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Yves Johnson Name: Michael Miller
Address:2813 Colewood Ln Company: Trade Winds Roofing, Inc
City: Dover State:FL Address: P.O. Box 13208
Zip Code: 33527 Fax: City: Ft Pierce State:FL
Phone No.813-613-3993 Zip Code: 34979 Fax: 772-466-9725
E-Mail: Phone No. 722-466-9420
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 h lender or an attorney before
commenci w9fk orecordin Notice of Commencement.
/1/, -� - Ye2
Signat re of Own r/Lessee/Contractor a Agent for Owner Signaiiurg of Contractor/License der
STATE OF FLORID -' ��n ,Q- COUNTYOF
STATE OF
COUNTY OF ` l: /1.
The forgoing instrument was acknowledged before me The,fjprgping instr nt was acknowledge before me
this '"'day of 2001 by this//��llZz{{day of w 20 by
k�&P_'1
Name o person king statement Name of person king statement
Personally Known OR Produced Identification Personally Known � rr OR Produced Identification
Type of Identification Type of Identification
Produced A Produced
ILAA
(Signature of otary Pul;licAate of FloOWa Lyne Wilkin (Signature of Notary Public-S01le of FloridaF61icia Lyne Wilkin
��Y PUBLIC NOTARY PUBLIC
Commission No. S A Commission No. , OF FLORIDA
S ANY
FLORIDA Comm#GG10386U
Comm*GG1038Pxnirn 60 Expires 914/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17