HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MU T BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: 6 � 0 `� Permit Number: 1 (�`) I D
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COUNTY
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Building Permit Application NAY to
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Planning and Development Services
Building and Code Regulation Division ®j ► r
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: 7925 Meadowlark Ln, Port St Lucie, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB-BLK 50 LOT 24(OR 4122-1976)
Property Tax ID#: 3425-706-0214-000-4 - Lot No.24
Site Plan Name: Block No. 50
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.
MOBILE HOME
CONSTRUCTION INFORMATION
Additional work to be ertormed under this permit—check all• apply:
HVAC Gas Tank Gas Piping 1,IShutters Q Windows/Doors
ElElectric ❑Plumbing El Sprinklers Generator 111 Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1710 S . Ft.of First Floor:
Cost of Construction:$ 8,365 Utilities: SewerElSeptic Building Height:
OWNER/LESSEE k r :CONTRACTOR:
Name Charles&Dorothy Peel Name: Michael Miller
Address:7925 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.561-827-3092 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.
Yom-
Su ppLEM E N TA LCONSTRUCTIONRLIEN 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 ork or recording your Notice of Commencement.
.40111
Signatu of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATEOF FLORIDA �` , � ;Q_ FLORIDA
COUNTY .n COUNTY OF
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OF �`
The foorrgQipg instrument was acknowledge before me The or d.b
ing instru ent was acknowledggefore me
this W day of VQ ,20 L by this` ay of ,20 1C1 by
1 c cu \ \(Yl l \ UV `( ( \ c Y)a o VI,(
Name of person m ng statement Name of person ma sing statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
)3Ab;1\ •-'-
(Signature of Notary Public-Sta of Florida) (Signature of Notary Public-State'Florida)
rr\\��QFelicia Lyne Wilkin IImo�,,2 . Felicia Lyne
Commission No �7 IW BtaO .*‘....;3%k,..1-4., Commission No.6C-a1 O)Atju �;, RIOTARY PUBLIC n
NOTARY PUBLIC .�,�..,
eq.' -.STATE OF FLORI A • f � _ STATE OF FLORIDA
Comm#GG1038 �'it
"" Comm#GG103866
'E 1'�� Expires 9/4/2021 • �.�;o
P' 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