HomeMy WebLinkAboutBuilding Permit Application i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 19n,13
-�
Date: Permit Number: 9n,1��aOcw
•
Building Permit Application
I 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
PERMITTYPE: Roof
PROPOSED IMPROVEMENT,LOCATION , -
Address: 7818 Meadowlark Ln, Port St Lucie, FL 34952
Property Tax ID#: 3425-706-0187-000-5 Lot No.28
Site Plan Name: Block No. 49
Project Name:
{ DtETAILED DESCRIPTION Of WORK x
..
Reroof-Remove existing roof covering, dry in.and install new asphalt shingles.
t�.��-i, 1 cl 1�-t�x �►1 dL�si613w-e
I
CONSTRUCTION INFORMATION:
�F
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
j — — —
Total Sq. Ft of Construction: 1650 Sq. Ft.of First Floor:
Cost of Construction:$ 8,865 Utilities: —Sewer —Septic Building Height:
OWNER LESSEE ,'; CONTRACTQR
i
Name Carol Heinze Name:Michael Miller
Address:7818 Meadowlark Ln Company:Trade Winds Roofing, Inc
j City: Port St LucieState: Address:P.O. Box 13208
i Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.772-418-2945 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.
i
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION ti
r
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.
IThe 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 CFIE
NCEMENT MUST BE RECORDED AND
POSTED O HE J SITE BEFORE THE FIRST INSPECTION. IF YOUND TO OBTAIN FINANCING, CONSULT
! WITH YOU END AN ATTORNEY BEFORE RECORDING YOUR NOOF CO NCEMENT."
i
i
i Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDAc, STATE OF FLORIDA
COUNTY OF J ��� �� COUNTY OF S+ I
The for ,offing instrument was acknowledged efore me The forgoing instrument was acknowledged
,before me
this (�Tday of �1'lO..r�� 20� by this' ay of 1rnCt fC_�'1 .20_b by
Name of person makings atement. Name of person making st tement.
I
Personally Known OR Produced Identification Personally.Known OR Produced Identification
Type of Identification Type of Identification
Prod ced Proc uced
i Ik//l/,,�• V 1��1�J�
I
(Signature of Notar Pu c-State of Floridael� ,LynslMnch� (Signature of Notary Pu lic- ate of Florida
+ V14Fel�ctaLyne Wilkin
Commission No. N�T(1RY PUBLIC Commission No. Q Y PUBLIC
SSTAjj�E OF FLORIDAS`fAT�OF FLORIDA
Comm#GG103860
Comm#GG103860r
"WAVO Exp_i es 9/4 1NO 1 1 Expir 3s 9/4/2021
REVIEWS' FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2-1713.9