HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLLE/INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date: 11) l ' b Permit Number: `
RECEIVED
Building Permit Application MAY 0 7 201
Planning and Development Services ST. I ucie County, ermltting
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: 6621 Picante Cir, 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:
DETAILED DESCRIPTION OF WORK:
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
shingles.
CONSTRUCTION INFORMATION:
Additional work tobene Orme under this permit—check a apply:
HVAC U Gas Tank Gas Piping _Shutters a Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator Roof 512 Roof pitch
Total Sq. Ft of Construction: 2430 SFt.of First Floor:
Cost of Construction:$ 10,215 Utilities:]Sewer F]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Nam� Y\ •C�k:�O'' Name: Michael Miller
Address. ��Z� �l C_C: '� C� Company: Trade Winds Roofing, Inc
City i-Q.(—C _L State:FL Address: P.O. Box 13208
Zip Code_3 14 R 5 Fax: City: Ft Pierce State:FL
Phone N(131 2 7 i� 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 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
commencin o or r orcling your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA<3—+-A... STATE OF
CA-`Z,_ COUNTY OFORIDA
COUNTY OF
The forgoing instr ent was acknowledg efore me The for o.ng ins r ent w s acknowled a before me
this day of 20�0 by this 7day of QAA 2a,-L. by
�,� �
Name of person king statement Name of p son ing statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Lf'lmt 4d.
—63 wAt4��-- 1 -2 & 11 -�A
(Signature o ry otaPubli tat of Florida) (Signature of Notary P lic- ate of Florida)
�� Felicia Lyne Wilkin it_Comm#GG103866�CeQli,, Lyne Wilkin
Commission No. %(3QX$RY PUBLIC Commission No. R Y PUBLIC
W` w
STATE OF FLORIDA STATE OF FLORIDA
Comm#GG103860
�'OE Expires 9/4/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17