HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
a 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: 2703 S 27th St, Fort Pierce, FL 34981
Property Tax ID#: 2420-802-0034-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Pitched Roof(3/12 slope)-Remove existing roof covering, dry in with self adhering underlayment and install new
5V crimped metal roofing. Low Sloped Roof(1/4/ 12)- Remove existing roof covering and install new modified bitumen
rolled roofing.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric —Plumbing _Sprinklers _Generator _Roof 3/12&1/4/12 Pitch
Total Sq. Ft of Construction: ?,.-ow Sq. Ft. of First Floor:
Cost of Construction: $ So Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Michele& Michael Miller Name:Michael Miller
Address:P.O. Box 13208 Company:Trade Winds Roofing, Inc
City: Fort Pierce State:_ Address:P.O. Box 13208
Zip Code: 34979 Fax: City: Fort Pierce State:FL
Phone No.772-466-3435 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
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
or m
If value of HAVC is$7,500 ore,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: 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 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 our Notice of Commencement.
Signature of Owner essee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID i
COUNTY OF ���+ COUNTY OF
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�Swor o(or affirmed)and subscribed before me of Swy orn�'(or affirmed)and subscribed before me of
y ical Presence or Online Notarization V_ Physical Presence or Online Notarization
this_nay of 2021 by this_day of r 202t)] by
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Name of person making ss ement. Name of person making st tement.
Personally Known �/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Pr uced a I I Produced
ne Wilkin
(Signature of Notar ublic-State of Florida) (Signature of Notary Public-iTovivi
cWOTARY PUBLIC
y Felicia Lyne Wilkin STATE OF FLORIDA
Commission No. ypTARY PUBLIC Commission No. ( GG103860
W! =STATE OF FLORIDA Expires 9/4/2021
/4 19� E x 'res 9/4/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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