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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c
Date: ermit Number:
Building Permit.Ap . lication
Planning and Development Services
Building and Code Regulation Division
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: 7848 Horned Lark Circle, Port St Lucie, FL 34952
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2 kPB 43-21)BLK 60 LOT 6(OR 2039-2642)-
Property Tax ID#. 3424-702-0073-000-8 Lot No.6
Site Plan Name: Block No. 60
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,-OF.,WORK:
Reroof- Remove existing roof covering, dry.in with self adh ring underlayment and install new asphalt
shingles.
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CONSTRUCTION INFORMATION: :v
Additional work toe nertormed under this-permit—check all. pp y:
11HVAC 0GasTank OGas Piping Shutters a Windows/Doors
Electric ❑Plumbing ❑Sprinklers ElGenerator ❑ Roof 3 12 Roof pitch
Total Sq. Ft of Construction: 2614 S . Ft.o First Floor:
Cost of Construction:$ 11,995 Utilities. S wer El Septic Building Height:
OWNER/LESSEE: CONT CTOR:
Name Diane S Rambadt Name: JMichael Miller
Address:7848.Horned Lark Cir Compa y: Trade Winds Roofing, Inc
City: Port St Lucie State:FL Addres : P.O. Box 13208
Zip Code: 34952 Fax: City: F I rt Pierce State:FL
Phone No.772-344-7221 Zip Code: 34979 Fax: 772-466-9725
E-Mail: Phone qo. 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 o County License: CC C057399
If value of construction is$2500 or more,a RECORDED Notice of Commen ement is required.
SUPP.LEMENTAL`CONSTRUCTION LIEN LAW INFORMATI. N:
DESIGNER/ENGINEER: Not Applicable MORTG GE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDIN COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obta n a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of permit. .
St.Lucie County makes no representation that is granting a permit will autho ize thepermit holder to build the subject structure
which is in conflict with any applicable,Home Owners Association rules,bylav�s or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review yo .r deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree t at I will, in all,respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lu ie 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 Commen ement may result in your paying twice for
improvements to your property.A Notice of Commencement m st be recorded and posted on the jobsite
before the-first inspection. If you intend to obtain financing, con ult with lender or an.attorney before
commencin or pr r*ording yjdur Notice of Commencement.
Signature of Owner/Lessee/Contractor as gent for Owner Signaturof Contractor/License Holder
STATE OF FLORIDA STATE F FLORIDA ,`
COUNTY OF A ` �'� �` COLIN OF
The forgoing instru ent was acknowledged before me The forg Ing instrument was acknowledged before me
this day of `'�`20 1�by this I day of 20 r by
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/ M� (',)(\ 0A_J
Name of person n)oking statement Name of person m ing statement
Personally Known V OR Produced Identification Personal y Known OR Produced Identification
Type of Identification _ Type of I Jentification
Produced Prod ce
(Signature of Notary Pub ic-S W-I(* Ioifdl p)a Lyne Wilkin. (Signat re of Notary Public-State of Florida)
or' NOTARY PUBLIC S Felicia Lyne Wilkin
Commission No. y SWMO OF FLORIDA Commis ion No. �� ARY PUBLIC
'si 0 Comm#GG103860. i
ST OF FLORIDA
fe t Expires 9/4/2021 0 Comm#GG10386d
REVIEWS_; FRONT ZONING SUPERVISOR PLANS VEGETATION - SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17