HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0
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: 5408 Cassia Dr, Fort Pierce, FL 34982
Property Tax ID#: 3402-610-0063-000-5 Lot No.5
Site Plan Name: Block No. 72
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove existing roof covering, dry in with self adhering underlayment and install new asphalt shingles.
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 Ili ch
Total Sq. Ft of Construction: 4382 Sq. Ft. of First Floor:
Cost of Construction: $ 20,670 Utilities: _Sewer _Septic Building Height:
rAddress:5408
WN ER/LESSEE: CONTRACTOR:
me Patricia Hurst Name:Michael Miller
Cassia Dr Com an Trade Winds Roofing, Inc
p Y�
City: Fort Pierce State:fl, Address:P.O. Box 13208
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No.772-971-6093 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/office@tradewindsroofing.com
from the Owner listed above) State or County License CC C057399
Lif value of construction is 2500 or more,a RECORDED 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: 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 le der or an attorney before commencing work or recording our Notice of CorrImencement.
Signature 6f Owner Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA::-- y � STATE OF FLORIDA
COUNTY OF 1-- 1 COUNTY OF SUS C�\ --
Swor o(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed before me of
Physical Pre4pnce or Online Notarization Physical Pres ce or Online Notarization
this r'ilt�`day of Y-� — 2024 by this cl+d'ay of Y \� 2021 by
Name of person making st ement. Name of person making statement.
Personally Known OR Produced Identification Personally Known 1' OR Produced Identification
Type of Identification Type of Identification
Produced r� Pro uced��"�
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(Signature of Notary Public-State of Fior'''d�y (Signature of Notary Public-State of Florida
,ORy Fe�i Lyre WiUcin ( g Y y )Felicia Lyne Wilkin
OT kRY PUBLIC s NOTARY PUBLIC
Commission No. OF FLORIDA Commission No. _ �TE OF FLORIDA
Comm#GGIO38W � ` � . Comm#GGI O3860
E1rh1- Expiras E T pir
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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