HomeMy WebLinkAboutBuilding permit app ALL APPLICABLE INFO MUST BE COMPL TED FOR APPLICATION TO BE ACCEPTED ry
Date: Permit Number: ( ® � (� 013
Building Permit Application JAN 13 201
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
"PROPOSED IMPROVEMENT LOCATION:
Address: 151 SE Castana Ct, Port St Lucie, FL 34983
Legal Description: RIVER PARK-UNIT 5 BLK 53 LOT 16 (MAP 34/28S)(OR 3789/1420)
Property Tax ID#: 3419-540-0331-000-3 Lot No. 16
Site Plan Name: Block No. 53
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF-WORK:
Reroof-Remove existing roof covering, Dry-in with self adhering underlayment and install new 5V
Crimped Metal Roof.
Roof Pitch- 1 1/2 / 12
Product Approval- Metal- FL11651-R2 & Underla ment- 5LQ9— ?—i c>
CONSTRUCTION-INFORMATION: "
Additional work to e nertormed under this permit—check all[ apply:
11HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1682 S . Ft. of First Floor:
Cost of Construction:$ 8,430 Utilities:i Sewer O Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Gloria Diaz Name: Michael Miller
Address: 151 SE Castana Ct Company: Trade Winds Roofing, Inc
City: Port Si Lucie State:FL Address: P.O. Box 13208
Zip Code: 34983 Fax: City: Fort Pierce State:FL
Phone No.917-612-9480 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.
SUPPLEMENTAL'CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Treasure Coast Building Engineers,Inc(Harvey E.Koehnen) Name:
Address:7205 Elyse Cir Address:
City: Port St Lucie State: FL City: State:
Zip: 34952 Phone: 772-456-5509 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 i spection. If you intend to obtain financing, consult With lender or an attorney before
commencingw k or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �� ���` L COUNTY OF S
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of v)kASq, 20 Q_by thisL� day of (k n 20 L-1 by
Mc�)R-RA V\k1 _MN C�\(I �=\ �u k�_q i,
(Name of person acknowledging) (Name o person acknowledging)
Ao_,�
(Signature of Notary Public- ate of Florl a) (Signature of Notary PXicic-St a of Florida
Personally Known A'ZOR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FE1—all YNE Gg1yDEE Commission No. %WNE GANNDEE
YPUBUC
NOTARY PUBLIC STATE OF FL
ORIpA
FLORIDA Comm#FF051263
Revised 07/15/2014 CMIM#FF051263 Expires 9/4/2017
E)Vres 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS