HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: V 01
RECEIVED
• FEB 14 2015
Building Permit Applicati
ITT
Lucie County, p rmitting
Planning and Development Services
Building and Code Regulation Division.
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT TYPE:ROOF
PROPOSED IMPR01lEMENT LOCATION% � ? �� z �'
Address: 6685 Dulce Real Ave, Ft Pierce, FL 34951
Property Tax ID#: 1306-111-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED I3ESCRIPTION OF WORK
G 3
Reroof-Remove existing roof covering, dry in with self adhering underlayment and install new asphalt shingles.
CONSTRUCTI(?N INFORMATION: ,
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof 3/12 Pitch
Total Sq. Ft of Construction: 1740 Sq. Ft.of First Floor:
Cost of Construction:$ 7,745 Utilities: _Sewer _Septic Building Height:
. OWNER/LESSEE ` _ ` ��3 CONTRACTOR � _ ��
i
Name Wynne Building Corp&James Treece Name:Michael Miller
Address:6685 Dulce Real Ave Company:Trade Winds Roofing, Inc
City: Fort Pierce State: Address:P.O. Box 13208
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.772-468-3466 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.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
1
SUPPLEMENTAL CONSTRUCTION1UEN LAW INFORMAT{ON,
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ ssee/Contractor as Agent for Owner Signature—of Contractor/License Holder
STATE OF FLORID ��XC
STATE OF FLORIDA<COUNTY OF �� COUNTY OF-
TheThe fo oing instr en
his Mt was acknowledged before me The forgoing inst ment was acknowledged,l�efore me
tday of y-V P. 0�by this�day of _tsy LLL'• 20� by
VIA n)(Vu ` I(�11. �11ul VVI �1h oval �(Y1 << Le v
Name of person ma7011
ement. Name of person making statement.
Personally Known Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Pro ced Produced
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(Signature of Notary Public*SFIoFlgkih Lyne Wilkin (Signature of Notary Pub ic-St a of Florid�Alicla Lyne Wilkin
NOTARY PUBLICRY PUBLIC
Commission No. S*9OF FLORIDA Commission No. OF FLORIDA
Comm#GGIO38W �; 'Z Comm#1313103860
e ie Expires 9/4/2021
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