HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �y
Date: -a Permit Number:
RECEIVED
NOVM am-
2 6 2018
Building Permit Application
Planning and Development Services ST. Lucie County, p�rlTil� Cog
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 IMPROVEIUIENT-:LOCATION:
Address: 3037 Five Iron Dr, Port St Lucie, FL 34952
Legal Description: LINKS AT SAVANNA CLUB (PB 40-39) BLK 36 LOT 10(OR 1630-2035)
Property Tax ID#: 3425-707-0093-000-2 Lot No.10
Site Plan Name: Block No. 36
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DES CFOPTION`OF WORK
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new asphalt
shingles.
ri t
CONSTfZUCTfON IN-FORIUTATION
dAdditional work to be nertormed un er t is permit—chel all apply:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing 11 Sprinklers ElGenerator 1:1 Roof B✓ Roof pitch
Total Sq.Ft of Construction: 2278 S . Ft.of First Floor:
Cost of Construction:$ 11,795 Utilities Sewer®Septic Building Height:
EA/LESSEE.-I NTRACTOR:
Name Virginia Nygard Name: Micheal Miller
Address:3037 Five Iron Dr Company: Trade Winds Roofing, Inc
City: Port St Lucie State:FIL Address: P.O. Box 13208
Zip Code: 34952 Fax: City: Fort PierceState:FL
Phone No.772-873-8580 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 LIEN LAW INFORMATION:
DESIGNER/ENGINEER:. _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Ad d ress: Ad d ress:
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 the permit 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 inspection. If you intend to obtain financing, consult h lender or an attorney before
commencirIX wg47k or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA �j p
COUNTY OF + C�I'� COUNTY OF 1.
The for ping instrument was acknowledge before me The forgpirig instr ment was acknowledged before me
this AC%y of 20by this g'c ay of NOVCrh 12Qy' 26 by
\M C XCI A \\"�y �'AycaCL 0 W 1 `1Y
Name of person moing statement Name of person ing statement
Personally Known OR Produced Identification Personally Known OR Produced Identification*
Type of Identification Type of Identification
Produced A Produced
(Signature of Notary Public-StaijR.f Floriola Lyne Witkin (Signature of Notary Public-Statyof Florida)
Y PUBLIC
yqs Felicia Lyne Wilkin
T�
Commission No. w
ATE OF FLORIDA Commission No.. Q LWTARY PUBLIC
Comm#GG103860 y =STATE OF FLORIDA
a Comm#GG103860
REVIEWS FRONT_ ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17