HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 a5 ` Permit Number:
,.- ,. . . RECEIVED
Building Permit Application PA,,,;y 2 5 ?018
Planning and Development Services
Building and Code Regulation Division -ST Lucie County, Per itting
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: 8101 Meadowlark Ln, Port St Lucie, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB-BLK 50 LOT 42 (OR 1466-1248, 4071-853)
Property Tax ID#: L _70(_-0 -0Z3 Z— LYV3`iLo 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 and install new asphalt shingles.
MOBILE HOME
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit—check all apply:
aHVAC Gas Tank []Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers 1:1Generator ❑ Roof 312 Roof pitch
Total Sq. Ft of Construction: 1770 S . Ft. of First Floor:
Cost of Construction: $ 7,245 Utilities:]Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Donald & Lorraine Mathiowetz Name: Michael Miller
Address:8101 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.763-862-2112 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
commencing work
r recording our Notice of Commencement.
Signat re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License H der
STATE OF FLORIQA. STATE OF FLORIDA
COUNTY OF — COUNTY OF CA,Z
The or oing instrument was acknowledge before me The forgoing instrument was acknowledged efore me
thisilday of m C 20 '� by this��ayf oof �_ 20 l by
,YNA t I V Y�_1 cVla_L_L ( W I ( LL V
Name of person m ng statement Name of person rr�king statement
Personally Known OR Produced Identification Personally Known t/OR Produced Identification
Type of Identification Type of Identification
Produce A Prod ed
1.
(Signature of Notary Publ -St of F r i d a )Felicia Lyne Wilkin (Signature of Notary Public- t of Florida )Felicia Lyne Wilkin
OTARY PUBLIC N TARY PUBLIC
Commission No. ( ATE OF FLORID Commission No. _, ATE OF FLORIDA
Comm#GG103860 Comm#GG103860
E 1 t0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17