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HomeMy WebLinkAboutBuilding Permit Application , 1 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Na.Date: PermitNumber: UVID� a FZeCEIVED UKI-1-6-tall Building Permit Application va ent i Planning and Development petctn�rt'n9�County 5t. 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 PROPOSEMP D IROVEMENT LOnCATION - WIN Address: 112 Oneida Way, Fort Pierce, FL 34946 i Legal Description: See Attached Property Tax ID#: 1433-210-0003-000-9 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: i DETAILED DESCRIPTION _g Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt shingles. r Additional work to be nartormed under tis permit—c ec all appy: E1HVAC Gas Tank ❑Gas Piping O Shutters ❑Windos/Doors 0 Electric Plumbing ❑Sprinklers Generator EJ Roof 312 Roof pitch Total Sq. Ft of Construction: 1890 S . Ft.of First Floor: Cost of Construction:$ 10,820 Utilities:Sewer Septic Building Height: OWN ER/LESSEE F 4 K f CONTRACTOR �w� � �aMRS .: ., .. ., ,. �.' .i.. ..'.. „�� ... „S,t;T .,ks.hi�;C � Y.l.,fie;.-.at., -cam , ufrr 3.n In'S Name Bedrock Tall Pines&Michele Cocchia Name: Michael Miller Address:650 5th Ave Company: Trade Winds Roofing, Inc City: New York State:_ Address: P.O. Box 13208 Zip Code: 10019 Fax: City: Fort Pierce State:FL Phone No.772-332-8720 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 LtEN LAIN 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 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. I 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 inspe ion. If you intend to obtain financing,consult with lender or an attorney before ,commencing or r ecordin our Notice of Commencement. i Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA _ C�� STATE OF COUNTY OF ORIDA�A ` A , ��� COUNTY OF v� The ' g instr ent was acknowledged before me The forgoing instru ent was acknowledg efore me this y of L&Ii — 2AR by this ��d'ay of 20 forgoby Name of person making statement Name of person making statement Personally Known ^-"--0-R Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-St p Flof!dW*Lyne WUkln {Signature of Notary Public- too n NOTARY PUBLIC � NOTARY PUBLIC � TATE OF FLORI Commission No. SE fl OF FLORIDA Commission No. 'iDP ATE F FLO 103866 Comm#GGI03860 E 1�� Expires 9/4/2021 b El Expires 9/4/2021 I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17