HomeMy WebLinkAboutBeach Ave 616, Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
O
e Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 616 Beach Ave, Port St Lucie, FL 34952
Property Tax ID #: 3419-510-0114-000-3
Site Plan Name:
Project Name:
I DETAILED DESCRIPTION OF WORK:
Lot No.18
Block No. 13
Pitch Roof- Remove existing roof covering, dry in with self adhering underlayment and install new 5V Crimped Metal.
Low Sloped- Remove existing roof covering and install a new modified bitumen rolled roofing.
Roof Pitch- Low Sloped- 1/12 and Pitched Roof- 3/12
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
_ Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 2030
Cost of Construction: $ 12,070
_ Gas Piping _ Shutters _ Windows/Doors Pond
_ Sprinklers _ Generator _ Roof7(r L �- ?IiZ Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTeresa Knorrston
Name: Michael Miller
Address:616 Beach Ave
Company:Trade Winds Roofing, Inc
City: Port St Lucie State: _
Address: P.O. Box 13208
Zip Code: 34952 Fax:
City: Fort Pierce State: FL
Phone No.772-446-4673
Zip Code: 34979 Fax:
E-Mail:
Phone N0772-466-9420
Fill in fee simple Title Holder on next page ( if different
E-Mail Mike@tradewindsroofing.com / office@tradewindsroofing.com
State or County License CC C057399
from the Owner listed above)
11 VdluC Ur
consirucnon is c�uu or more, a KtwKUtU Notice of commencement is required.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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 TITLE HOLDER: — Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording o r Notice of Commencement.
"2Z
Signature of Owner/ Lessee/ ontractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA �i `
COUNTY OF A_.
STATE OF FLORID
�._--�~� �
COUNTY OF C`
Swor (or affirmed) and subscribed before me of
Sworn (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 2-4 day PtA-rf�)19�2020
Physical Presence or Online Notarization
of by
this�2 day of by
Name of person making st ment.
Name of person makin7sta ment.
Personally Known OR Produced Identification
Personally Known Is OR Produced Identification
Type of Identification
Type of Identification
Pro uce (fj
- —411 -1
Pro ced
(Signature of Notary Publ - State of FMA ne Wilkin
� Yqs Y
(Signature of Notary u c- Sta f Flor'
�PRFAgs, 4�li�ia Lyne Wilkin
Commission No. o NOTARY PUBLIC
y
-+STA*bF FLORIDA
Q NOTARY PUBLIC
Commission No. a ''SWbF FLORIDA
a
` Comm# GG103860=Comm#
GG103860
s e
xpires
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.