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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Na.Date: PermitNumber: UVID�
a FZeCEIVED
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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.
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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
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17