HomeMy WebLinkAboutBuilding Permit Application All APPLICABLVNFO MUT E COMPLETED FOR APPLICATION TO BE ACCEPTED O
Date:
�° I• Permit Number
RHM
RBLt
SEP 11 2019
Building Permit Applic tion
Planning and Development Services 9 Depar Ment
Building and Code Regulation Division St. Lucie Co tyl FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: Roof
0ROPOSE6.IMPROVENIENT LOCATION
Address: 6507 Aheli, Fort Pierce, FL 34951
Property Tax ID#: 1306-500-0087-000-0 Lot No.19
Site Plan Name: Block No. 40
Project Name:
DETAILED;DESCRIPTION OF WORK
Reroof-Remove existing roof covering, dry in with self adhering underlayment and install new asphalt shingles.
.CONSTRUCTION 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 4112 Pitch
Total Sq. Ft of Construction: 2900 Sq. Ft.of First Floor:
Cost of Construction:$ 14,415 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR
Name Donald&Catherine Coney Name: Michael Miller
Address:6507 Aheli 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.954-360-1966 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.
SUPPLEMENTAL,CONSTRU,CTION LIEN,LAW INFORMATION
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER O N ATTORNEY BEFORE RECORDING YOUR NO CE OF COMMENCEMENT."
Iva
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA \ STATE OF FLORIDA
COUNTY OF -�C" L' �` COUNTYOF
The forgoing instrument was acknowledged before me The or ping instr ment as a knowled a before me
this qday of 019 by this day o 20 by
F�1 h 9 1 Y_" ti\N1 0
Name of person making statement. Name of person making statement.
Personally Known `1"stOR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced
VV
(Signature of Notary Public-S igib 'ARY PUBLIC (Signature of Notary Public- to of Florida)
y Felicia Lyne Wilkin
Commission No.
c STATE OF FLORIDA � q RY PUBLIC
L '
fSeALL.GG103866 Commission No. e�'TATE OF FLORIDA
NSF 1 Expires 9/4/2029- I
omm#GG103860
INCE 1 10 Expires 9/4/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2 19