HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 5-107, l7.3�j
Date: / 20 `J� Permit Numbe : � �t
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Building Permit Application JUL 16 ZOi$
Planning and Development Services Permitting be rtment
Building and Code Regulation Division St. Lucie .C, u nty, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: .Roof
PROPOSED IMPROVEMENT,LOCAT.iC1N
Address: 8440 Gallberry Cir, Port St Lucie, FL 34952
Legal Description: SAVANNA CLUB PLAT THREE BLK 25 LOT 19 (OR 1684-425)
Property Tax ID#: 3425-703-0229-000-3 Lot No.19
Site Plan Name: Block No. 25
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION bF,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–c ec a appy:
HVAC 11 Gas Tank 0Gas Piping _Shutters Q Windows/Doors
ElElectric ❑Plumbing []Sprinklers 1-1 Generator F] Roof 312 Roof pitch
Total Sq. Ft of Construction: 1740 Sq. Ft.of First Floor:
Cost of Construction:$ 7430 Utilities:oSewer Septic Building Height:
,OWNER/LESSEE:--' :,. CONTRACTOR:
Name Mary Burley Name: Michael Miller
Address:8440 Gallberry Cir 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.772-342-4290 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.IN,FORMATI.O.N: .
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 .
commenci w or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF COUNTY OF Cl
�\ 1 �AJp J COUNTY OFSTATE OF ORIDA� n
The by
ing instrument was acknowledg beefore me The r oing instr ent was acknowledgbefore me
this day of 20�by this day of .20 VS by
)MN CVNCX_Q ,� m l�1 UY, J�a_o ,� 1.ck,,-
Name of per on aking statement Name of persorymaking statement
Personally Known OR Produced Identification Personally Known ��// OR Produced Identification
Type of Identification Type of Identification
Produced Produced
'*1 1� 1--im 1�
(Signature of Notary Pub is-5 ted a Felicia Lyne i En (Signature of Notary Public- to 'da¢elicia Lyne Wilkin
OTARY PUBLIC NOTARY PUBLIC
ATE OF FLORIDA !
Commission No. ;` ( �J Commission No. a ���� �� �MTE OF FLORIDA
Comm#GG103860 Comm#GG10386d
E 1 ° Expires 9/4/2021 E 1�� Expires 9/4/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17