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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/20/2018 Permit Number: �(Q`
CRVED
Building Permit Applicatio 2018Planning and Development Services Building and Code Regulation Division , Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED,IMPROVEMENT LOCATION: , .
Address: 7835 White Ibis Ln. Port St. Lucie, FL 34952
Legal Description: Eagles Retreat at Savanna Club (PB 42-24) BILK 56 LOT 8
Property Tax ID#: 3424-701-0055-000-3 Lot No.8
Site Plan Name: Block No. 56
Project Name:
Setbacks Front Back: Right'Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Re-roof,shingle to shingle.We will be removing all existing material to the deck,replace any rotten or bad wood decking according to
code. Dry in roof according to code. Replace all penetrations with new penetrations.Apply architectural shingles as per code.
CQNSTRUCTION ,IN;FORMATIO.N .,
Additionalworkto e e orme under this permit—c ec a app y:
HVAC []Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 9400.00 Utilities:Sewer E]Septic Building Height:
01NN
SE
Name
`CONTRACTOR:
NameKathi May Name: William Koch
Address:7835 White Ibis Ln. Company: Koch Inc.
City: Port St. Lucie State:FL Address: 1931 Diamond St.
Zip*Code: 34952 Fax: City: Port-St. Lucie State:FL
Phone No.772-261-1035 Zip Code: 34953 Fax:
E-Mail: Phone No. 772-370-9200
Fill in fee simple Title Holder on next page(if different E-Mail: kochinc@hotmail.com
from the Owner listed above) State or County License: CCC1326960
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SllPRI EMEIVTAL,CONSTRUCTiON'L,IEN LAW iN�dkm'A iON
DESIGNER ENGINEER: X Not Applicable ,
/ � pp MORTGAGE COMPANY: �Not Applicable
Name: Name:
A4
_ :
Zip: Phone Zip: Phone:
r FEE SIMPLE TiTLE HOLDER: ,x Not Applicable BONDING COMPANY: � Not Applicable
Name: Name:
Address: Ate:
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 wilt authorize the.permit holder to build the subject structure
which is in cant with any appii�►le Rome Owners n rum,bgfaws or ani MW"8 its tfrat rvsay restricfrar 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 VO OWNER:Your falTure 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
commencing work or recording ur Notice of Commenceme t.
nature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID ` STATE OF FLORIDA }
COUNTY OF �1COUNTY OF
The foMqing instrument as acknowledge``d//before me The f rg ing instr ant as acknowledge efore me
ti g Yd'ay c&�_ L by his Clay of�
Name of person making statement Name of person making statement
Personally Known OR Produced Identification _ Personally Known OR Produced Identification
Type of Identificatio \ Type of
idetification
Produced `V� Produced Xl)k
(Signature of N tary Public- tate of Florida) (Signature of No ate of Flor DyanaPerel
a^ Dyer a Pereira We of Flori a
Commission No. �� - ($efte of Florida Commission No. - Commission Explr =01202D
h r My Commission Expires 10/20/2020 "'h$ Commission No. @681
r Commission No.GG 40681
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECBVED
DATE
COMPLETED
Rev.8/2/17