HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -sa n Permit Number: �105'OSa�
RECEI','-D MAY 24 2017
Building Permit Application
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 �N d k
RkOPOSED .1MPROVEM,ENT;LOCATION
Address: 707 Anita St, Fort Pierce, FL 34982
Legal Description: 3 36 40 FROM NW COR OF HUNT'S S/D RUN E 660 FT FOR POB, TH CONT E 100 FT, TH N 120 FT,
TH W100 FT, TH S 120 FT TO POB- LESSTHE N 11.7 FT FOR RD R/W (ANITA ST) (33) (0.25 AC)
Property Tax ID #: 3403-332-0014-000-7 Lot No.
Site Plan Name: Block No.
Project Name: f
Setbacks i Front-;` Back: Right Side: Left Side:
";DETAILED DESCRIPTION OF WORK:
Reroof flat roof- emove existing roof covering and install new modified bitumen rolled roofing.
Roof Pitch-f2-
Roof Sq Foot- S Ct
CONSTRUCTION INFORMATION
Additional work to be ertormed under tispermit—check all apply:
11HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator F]Roof Roof pitch
Total Sq. Ft of Construction: �l dy Sq. Ft. of First Floor:
Cost of Construction: $ 6,150 Utilities: Sewer I I Septic Building Height:
OWNER/LESSEE: - , '`
CONTRACTOR:
Name Gregory Lawson
Name: Michael Miller
Address: 707 Anita St
City.. Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-341-4100
Company: Trade Winds Roofing, Inc
Address: P.O. Box 13208
City: Fort Pierce State: FL
Zip Code: 34979 Fax: 772-466-9725
Phone No. 772-466-9420
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
E-Mail: Mike@tradewindsroofing.com
State or County License: CC C057399
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
SUPPLEMENTAL CONSTRUCTION IEN LAW INFORMATION:.-,
'G L
DESIGN ER/ENGINEE Not Ap licable
MORTGAGE COMPANY: Not Applicable
Name :-C SLC+I e )-`e;W h
Address: `12C75 f_) WSe C
!25.L
_
EN ame:
Address:
City:-Pcsrl-S�L,�C� e State:��t-
City: State:
Zip: �L419-5 Z Phone: —1-1 -�_— t_4 L2 LP -v!Y5
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
commencine wor"r rec°lirdine vour Notice of Commencement. / %I
as Agent for Owner I Signature of Contractor/License
STATE OF FLORID STATE OF FLORIDIJ: - � / t
COUNTY OF C� �'� COUNTY OF j
Theorgoing instr ent was acknowled gd before me The r� ing in tr nt was acknowledged before me
this f� day of 201aby this day of 20 by
0� \(Nv)
(Name of person ac now edging) (Name of person acknowledgi )
�I A. - ,'InA A • _ � �
(Signature of Notary Public- Stake of Florida
Personally Known N/ OR Produced Identification
Type of Identification Produced
FELICIA LYNE GANDEE
Commission No. NE$J"YPUBLIC
&%STATE OF FLORIDA
Revised 07/15/2014 Expires 9/4/2017
(Signature dTNotary Public- StateVoo Florida) '—
Personally Known ` /icOR Produced Identification
Type of Identification Produced
Commission No. N031 BLICNDEE
NOTAI3Y�`Pi�UBLIC
ESTATE OF FLORIDA
Expires 9/4/2017
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