HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a``� 1 a.d Permit Number:
RECEIVED
- Building Permit Applicati[FEB � 20?:0
Planning and Development Services ST. Lucie Counfy, P miiting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:Reroof
PROPOSED IMPROVEMENT LOCATIO
Address: 170 SE Naranja Ave, Port St Lucie, FL 34983
Property Tax ID#: 3419-540-0177-000-5 Lot No.4
Site Plan Name: Block No. 48
Project Name:
D,ETAILE'D DESCRIPTION OF.W`0RK:
Reroof- lY\—C-.
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 3/12 Pitch
Total Sq. Ft of Construction: 2250 Sq. Ft.of First Floor:
Cost of Construction:$ 11,995 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE CONTRACTOR:
_.
Name Marilyn Piechota Name:Michael Miller
Address:3240 NW Perimeter Rd Company:Trade Winds Roofing, Inc
City: Palm City State: L- Address:P.O. Box 13208
Zip Code: 34990 Fax: City: Fort Pierce State:FL
Phone No.772-485-3285 Zip Code: 34979 Fax:
E-Mail: Phone No772-466-9420
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.
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SUPPLEMENTAL CONSTRUCTION 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 TITLEHOLDER: _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 1 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 YOUft LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contrac icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF ��/�-��� COUNTY OF
The forgoing instl:ument was acknowledged before me The for oing instrymept�was acknowledged before me
this day of ' Y ' ' O� b' 2011 by this-day of ECS Y � r 20 by
rA\1 V-Y)
Name of person maki7OR
ment. Name of person making sta ment.
Personally Known Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Pro uced Produced
(Signature of Notary Public-State of Qrida)Felicia Lyne Wilk n (Signature of Notary Public-S!*t�TE
elicia Lyne W I in
NOTARY PUBLIC OTARY PUBLIC
Commission No. ( ATE OF FLORIDCommission No. OF FLORIDA
sk-1 Comm#GW03860omm#GG103860
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r—ires 91417091
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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