HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:� _ Jq
Building Permit Application MAR 0 7 201f
Planning and Development Services PERMITTIM
Building and Code Regulation Division St. Lucie Co FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof -
PRO'P.'OS'ED IMPR'OVEMENTLOCATION
Address: 18 Calle de Lagos, 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 DESCRIPTION;OF WORK:
Reroof- Remove existing roof covering, dry-in and install a new 5V Crimp Roof.
Roof Pitch- 3 / 12
Roof Sq Ft- 1288 sq ft
CONSTRUCTION INFORMATION
A itional work to be erformed under this permit—check a app y:
�HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: 1288 S . Ft. of First Floor:
Cost of Construction:$ 7075 Utilities:Cn Sewer E]Septic Building Height:
OWNER/LESSEE: , CONTRACTOR:
Name Wynne Building Corp&Kathleen Rudolph Name: Michael Miller
Address: 12804 SW 122nd Ave Company: Trade Winds Roofing, Inc
City: Miami State:FL Address: P.O. Box 13208
Zip Code: 33186 Fax: City: Fort Pierce State:FL
Phone No.614-448-8814 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+
m,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Treasure Coast Building Engineers,Inc Name:
Address:7205 Elyse Cir Address:
City; Port St Lucie State: FL City: State:
Zip: 34952 Phone: 772466-5509 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
commenqng work or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Con actor as Agent for Owner Signature of Contractor/License Holde
STATE OF FLORID STATE OF FLORIDA l •
COUNTY OF C \'e COUNTY OF � lu_C\e
The for oing instr ent was acknowledged before me The forgoing instrument was acknowledged before me
this day of 01,V,G 20\aby 'this _-) day of 000 ✓C—t 1 .20 _by
ft �Lhm _� mi � (Lr_ OA i r,M..P_f / I L&r2-
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P,ubZOR
t of Florida (Signature of Notary Publi�-State f Florida)
Personally Known � roduced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. F�E�" YNE GANDEE Commission No. F( LYNE GANDEE
No
NOTARY PUBLIC
STATE OF FLORIDA STATE OF FLORID
Conan#FF Comm#FF051263
Revised 07/15/2014 Expires 9/4/2017 , Expires 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
I N ITIALS