HomeMy WebLinkAboutBuilding permit app ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )/y
Date: 22- / /� Permit Number:
Building Permit Application JAN 13 2 7
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 APPLICATION FOR: Roof
PRO;POSED,,IMP ROVEMENT LOCATION.
Address: 7 Verde Vista, Fort Pierce, FL 34951
Legal Description: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED-DESCRfPTI�ON OF UVORK
Reroof the shed roof with new modified bitumen
Roof Pitch- 1/4 / 12 (Reroof pitch) _
Product Approval- Modified Bitumen - FL1046-R7
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CQNSTRUCTIO`N INFORMATION,
Additional work to be nertormed under this permit—cneCK all apply:
11HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 180 S . Ft.of First Floor:
Cost of Construction:$ 3,550 Utilities:n Sewer El Septic Building Height:
OWNER/LESSEE.. ,. CONTRACTOR:
Name Wynne Building Corp&Robert Adams Name: Michael Miller
Address:7 Verde Vista Company: Trade Winds Roofing, Inc
City: Fort Pierce State:FL Address: P.O. Box 13208
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.518-631-9566 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.
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SUPPLEMENTAL CSTRUCTIO ONN LIEN LAW IN
.. : .. .
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Treasure Coast Building Engineers,lnc(Harvey E.Koehnen) Name:
Address:7205 Elyse Cir Address:
City: Port&Lucie State: FL City: State:
Zip: 34952 Phone: 772-466-5509 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin,g wolk or recording our Notice of Commencement.
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Signatur of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA C\� STATE OF COUNTY OFORIDA
�, ,fie COUNTY OF
The fto•—r�oing instrument was acknowledged before me The�3roing instrument was acknowledged before me
this Ya day of t u0.. 20 Oby this J day of 011n 20 by
kom- �A R
(Name of person acknowledging) (Name of person acknowle ging)
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(Signature of Notary Public tate of ObTrda) (Signature of Notary,$PuhIrir-/ a)
ate of Florid
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Personally Known /bl OR Produced Identification Personally Known V OR Produced I tl aLt
Type of Identification Produced IALYN— am Jype of Identification Produced
. NeTARYPtIode
NOTARY PUBLIC AT OF FLORIDA
Commission No. STATE OF FLORIDA Commission No. FF051263
Conurt#FF0512633 Expires 9/4/201 T
wires 117
Revised 07/15/2014
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