HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` 11
Date: 1 Permit Number:
RECEIVED
Building Permit Application JILL 10 ��i8
Planning and Development Services
Building and Code Regulation Division 5?__ Lucie County, tier` iirti
2300 Virginia Avenue;Fort Pierce FL 34.982 -
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PR(3POSED I'M'PROVEMENT LOCATION:
Address: 8476 Gallberry Cir, Port St Lucie, FL 34952
Legal Description: SAVANNA CLUB PLAT THREE BLK 25 LOT 28(OR 903-1910:2913-1968)
Property Tax.ID#. 3425-703-0238-000-9 Lot No.28
Site Plan Name: Block No. 25
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
INFORMAE,NSTRUCTIOP, TION:
Additional work toe e orme under this permit—c ec a apply:
HVAC E]Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing ❑SprinklersGenerator 0 Roof Roof pitch
Total Sq. Ft of Construction: 1456 S . Ft.of First Floor:
Cost of Construction:$ 7,495 Utilities:�Sewer Septic Building Height:
OWNER/LESSEE: .CONTRACTOR:'.
Name Patricia Mitchell(TR)&Key Bank N.A Name: Michael Miller
Address:-100 Public Sq Ste 600(OH-01-10-0930) Company: Trade Wind Roofing, Inc
City: Cleveland State:OH Address: P.O. Box 13208
Zip Code: 44113 Fax: City: Ft Pierce State:FL
Phone No.216-289=5238 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.
SUPPLE CONSTRUCTION LIEN LAW INFORMATION
/ pp MORTGAGE COMPANY:
DESIGNER ENGINEER: � Not Applicable Not Applicable
Name: Name:
Ad d ress: 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 thepermit 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
commenci work or recordAhg your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of CopaetoTlCicense Holder
STATE OF FLORIDA- STATE OF FLORID
COUNTY OF r - A I (' . COUNTY OF � l �'��—
The forgoing instr ment was acknowledge before me The forgoing instrument was acknowledged before me
this l l day of wl ! 1 20)0 by this I day of 20 by
fn -ha-R_I V Y1 k1_ UQ_
Name of person makes' g statement Name of person m g statement
Personally Known \�bR Produced Identification Personally Known OR.Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-gat FFIOH44cla Lyne Wilkin (Signature of Notary Public(/State of Florida)
NO RY PUBLIC Y Felicia Lyne Wilkin
Commission No. Q _� NE OF FLORIDA Commission No. (3@"RY PUBLIC
i Comm#GG10386U ,i STATE OF FLORIDA
.
El 10 Ex fres 9/4/2021 Co m#GG1038W
res
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17