HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BEE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
_25 Permit Number: �0 �
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Building Permit Applicatim o
Planning and Development Services Q'���
Building and Code Regulation Division �3OlR
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:Reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 110 Essex Dr., Fort Pierce, FL 34946
Property Tax ID#: 1432-805-0093-000-9 Lot No.93
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Reroof- Uo/je vz�z:;�`v LC3.'i . ��, I rN
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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 31/2/12 Pitch
Total Sq. Ft of Construction: 2016 Sq. Ft.of First Floor:
Cost of Construction:$ 9,860 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:, `,CONTRACTOR,:
NameTwo Holdings LLC Name:Michael Miller
Address:5475 NW Saint James Dr# 163 Company:Trade Winds Roofing, Inc
City: Port St Lucie State:T� Address:P.O. Box 13208
Zip Code: 34983 Fax: City: Fort Pierce State:FL
Phone No.772-342-4600 Zip Code: 34979 Fax:
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
i
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
SUPPLEMENTAL CONSTRUCTION LIEN LAVH 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 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 IXNDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF C=\C_ COUNTY OFThe forgoing forgoing instrument was a knowled ed before me The fo going instrument was acknowledged before me
this day of (>t►�G ,2040 by this ay of 20_2 by
0- ,i c a_ Q-A \f\n k `�_L M, c ha S_ \ 'n(1 i 1 �v
Name of person making statement. Name of person mak7OR
tement.
Personally Known �OR Produced Identification Personally Known Produced Identification
Type of Identification Type of Identification
Prod ced Produced
(Signature of Notary Public-S&NOTARY
Eelipla Lyne Wilkin . (Signature of Notary Public-State of Florida)
PUBLIC q Felicia Lyne W ptin
Commission No. {STAIJE OF FLORIDA Commission No. aQ �OTARY PUBLIC
Comm#GG10386U a TATE OF FLORI
^ z ?Comm#GG103860
E,*,es 91412021
E 1131 Expires 9/4/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
DATE
COMPLETED
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