HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED \
Date: TJ Permit Number: ►�dSJ����
wM
J RECEIVED
L-W-01-41el
Building Permit Application MAY 2 5 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permi y
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: 7825 Meadowlark Ln, Port St Lucie, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB-BLK 50 LOT 7 (OR 1535-829)
Property Tax ID#: �j�2 S �� (,� l —C - 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.
MOBILE HOME
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a apply:
1_1HVAC 11 Gas Tank []Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing ❑Sprinklers ❑Generator Roof M31 Roof pitch
Total Sq. Ft of Construction: 1450 S . Ft. of First Floor:
Cost of Construction: $tr�� Utilities: Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Richard &Victoria Pryor Name: Michael Miller
Address:7825 Meadowlark Ln Company: Trade Winds Roofing, Inc
City: Port St Lucie State:FL Address: P.O. Box 13208
Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.772-343-7751 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 inspeion. If you intend to obtain financing, consult with lender or an attorney before
54
commencin work VJecording your Notice of Commencement.
Signature of Owner/Lessee/Co ctor as Agent for Owner Signature of Contracto License Holder
STATE OF FLORIDA<S—V STATE OF FLORIDA
COUNTY OF COUNTY OF
The for&oing instrument was acknowledged before me The forgo. instrument was acknowledg 4 efore me
this 2 day ofC�� 201'6 by this day of �(Y\ �� 20 �by
Name of person m g statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produ ed A Produ ed
�l. IIV,I1V/I�l
(Signature of Notary Public-Stat cf FloriojL�Ia Lyne Wilkin (Signature of Notary Pub c-St t aMOTARY PUBLIC
OT RY PUBLIC
Commission No. OF 4� �PTf� OF FLORIDA
OF FLORIDA Commission No. moa GG103866
Comm#GG103860 El�0 Expires 9/4!2021
�0 ires 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