HomeMy WebLinkAboutBuilding Permit Application 1 '
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 n/
Date: Permit Number: ! �V��C)tD��
Building Permit Application
Planning and Development Services
Ouilding 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
FROP®SEDIMPR®VE�MENTLOCATION
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Address: 2981 Eagles Nest Way, Port St Lucie, FL 34952
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2(PB 43-21)BLK 63 LOT 25
Property Tax ID#: 3424-702-0186-000-3 Lot No.25
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Site Plan Name: 'Block No. 63
Project Name:
.;Setbacks Front Back: Right Side: Left Side:
DETAILED�DESCRIPTIQONRK h �> �� �;� 4
rx F.r �"c�..�2'„ c' 3 Vitas.a, " xx ,
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Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
shingles.
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C®4NSTRUCTIONINFORIVIATION"
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,Additional work toe e orme under this permit—check a appy:
0HVAC 12 Gas Tank ❑Gas Piping _Shutters a Windows/Doors
ElElectric El Plumbing Sprinklers a Generator Roof 312 Roof pitch
Total Sq. Ft of Construction: 1947 S . Ft.of First Floor:
Cost of Construction: 9,200 Utilities:cnSewer aSeptic Building Height:
DOWNER/ ESSfE , z �ts CONTRACT R�.�������'�"w� �� f
Name Gary Thomas&Mary Thomas Name: Michael Miller
Address:2981 Eagles Nest Way 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.772-577-1593 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.
SUPPLEMENLICONSTRl1CT10N
T ALIEN LAIN INFORMA`TICiN r 4 s �
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.
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 ins ction. If you intend to obtain financing,consult with lender or an attorney before
commencin or r regording your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA �` I STATE OF FLORIDA
COUNTY OF
COUNTY OF (\ l
Thefor oing instr ent was ac k owledge before me The forgoing instrument was acknowledged before me
this=day of 20Lf by this-qday ofycll �. 8a- ,20& by
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Na e'd perso making statement Name of prs making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
7'ed A Prod ced
TIA1 a A4Yk
(Sign ture of Notary Public-Stat f Florida a Lyne Wilkin (Sig ature of Notary Pub•c-Sta*FIda.) Felicia Lyne Wilkin
Commission No. Y bi airRY PUBLIC NQTARY PUBLIC
Commission No. ATE OF FLORtDSTA OF FLORIDA Comm#GG103860 Exrtires 9/4/2029
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17