HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
"'
COUNTY RECEIVED
F '6 O Rl D -A•
minimimom Building Permit Application MAY 171018
Planning and Development Services
Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PROPOSED 111%IRR®1%E14-NTllagATIO Nor
Address: 6148 Spanish Lakes Blvd, 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 DESCRIP�TIONOFW�RK � x � � � _ �
.. . �.� f . ��-�_ �•�: � . r .��.�;x.. ``p-�- ,_ � . _� .-;:�.p _tip. �..���� _.�,. .. ___ ��
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
shingles.
MOBILE HOME
YFeY$Y4bf K '
®+RxgMAT.,,rI®N ir ',. I' .
Additional work to b'e' e—rtormed under this permit—check
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.. _ .. •
all apply:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
ElElectric ❑ Plumbing El Sprinklers ❑Generator ❑RoofI at Roof pitch
Total Sq. Ft of Construction: 1247 S . Ft.of First Floor:
Cost of Construction:$ 5,555 Utilities: Sewer ElSeptic Building Height:
OWNER C® R
LESSEE ' t , d
xNTRA�CTO � x
Name Wynne Build Corp&Christine Fitzgibbon 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.518-321-3171 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.
SUzPPLEMENTAL C NSTRiiit- ®N`LIEN`•LAW INFORMATIONF;2 ;` "
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 ins ection. If you intend to obtain financing, consult with lender or an attorney before
commenci g wor r recording your Notice of Commencement.
Signature of Owner/Lesse Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID 1 �
COUNTY OF G l- COUNTY OF .0 r
The forgoing instr ment was acknowledg d before me The for oing instrument was acknowledg p1 before me
this`i t"`day of ,20 1 by this ay of m ,20 Is6 by
\ c \ \ VY1' \\-t-✓ \N` C.\ate \ YY1 t 1 a v
Name of p`ersonjking statement Name of pe son making statement
Personally Known V OR Produced Identification Personally Known L- OR Produced Identification
Type of Identification Type of Identification
Pro uce f` Prod ced wja.16„:,‘..
r,,i,/,,k,,(1.)4 0,.,-,..)..../ki.;,. Lb -v."),
(Signature of Notary Public-St e o . •rida Oelicla Lyne Wilkin (Sig ture of Notary Pu ic-S e of Florida)
l � Y
C� /U?J ; g N TARP PUBLIC �p� y, Felicia Lyne Wilkin
Commission No.66 f'r Commission No. 7 �U �O( QV Q• TS=.NOTARY PUBLIC
�1 s��ATE OF FLORIDA 51,
�' STATE OF FLORIDA
• 'r0 Comm#GG103860'
Comm#GG103860
1' Expires 9/4/2021 M•10
'' •
Expires 9/41202
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17