HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: AD o`Z'
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
PROPO5'ED'IMPROVEMENT LQCATION:
Address: 1 La Puerta del Norte, Ft Pierce, FL 34951
Legal Descrintion: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: _
DETAILED DESCRIPTION OF WO
Right Side: Left Side:
Lot No._
Block No.
Reroof- Remove existing roof covering, dry -in with self adhering underlayment and install new 5V
crimp metal roofing.
CONSTRUCTION INFORMATION:
Additionalworkto e e orme underd this permit— c
❑HVAC ID Gas,Tank ❑Gas Piping
ec a
app y:
Shutters
❑ Windows/Doors
.
❑ Electric 0 Plumbing
❑Sprinklers
❑ Generator
❑ Roof
3 1
Roof pitch
Total Sq. Ft of Construction: 1316
S . Ft. of First Floor:
Cost of Construction: $ 9,100
Utilities:❑Sewer
❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp & William Marsalisi
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. 772-466-5099
Zip Code: 34979 Fax: 772-466-9725
E-Mail:
Phone No. 772-466-9420
E-Mail: Mike@tradewindsroofing.com
Fill in fee simple Title Holder on next page (if different
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:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Southeast Building Engineers LLC
Name:
Address:591, Pescara or
Address:
City: Pace State: FL
City: State:
Zip: 32571 Phone 72a74-soas
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 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 w' h lender or an attorney before
commencinRZrk owecording your Notice of Commencement.
Signat re of Owne_r7 Lessee/Contractor as Agent for Owner
Signature- of Contractor/License Holder
STATE OF FLORID
U e It
STATE OF ORID �t Q
COUNTY OF
COUNTY OF
The forgoing Instrument was acknowledged before me
this day of i 20. n by
The forgoing instrument was acknowledged before me
this day of . 20� by
C!n � ` -
V
Name of person ming statement
,akPersonally
Name of person aking statement
Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
V V
(Signature of Notary Pub ic- Sta of Florida)
(Sign ture o Notary Public- StateM Florida)
ELICIA.LYNE GANDEE
Commission No. FELICIALYN
Y�E(_E
Commission No. NOTARY�IC
STATE OF FLORIDA
ow. .
Comm# FF051263
l:xp
res 9/4/2017
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17