HomeMy WebLinkAboutBuilding Permit Application i I I
I
i
I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDI
Date: Permit Nu Iber:
Building Permit Application !'
I 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
h.
PERMIT APPLICATION FOR: Roof
I
PROPOSED IIVIPROUEIVIENT LOCATLON
Address: 7801 McClintock Way, Port St Lucie, FL 34952
Legal Description: FAIRWAYS AT SAVANNA CLUB REPLACT NO. 1 (PB 57-40) B LI K 74 LqT 15(OR 2517-1532;
3800-2925) ;
i
F,roperty Tax ID#: 3424-800-0154-000-1 t Lot No.15
Site Plan Name: Block No. 74
Project Name: !
Setbacks Front Back: Right Side: Left Side:
lt.q
DETAILSD DESCRIPTION OF WORK
Reroof- Remove existing roof covering, dry in with self adhering underlaymient and install new asphalt
shingles.
1
CONSTRUCTION INFORMATION
i{
. _
Additional work to be pertormed under this permit—check all appy:
11HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑Plumbing Sprinklers Generator �'I' Roof Roof pitch
Total Sq. Ft of Construction: 2676 S . Ft.of First Floor: !'
Cost of.Construction:$ Utilities: _Sewer Septic Building Height:
11,265
i
t
OWNER%LESSEE *f` CONTRACTOR
IName.Susan Hutchinson&Harry Mitchem Name: Michael Miller {
(Address:7801 McClintock Way Company: Trade Winds Ro,'ofing, Inc
!City: Port St Lucie State:F� Address: P.O. Box j13208 I ''
Zip 34952 y. Fort Pierce State:FL
I Zi Code: Fax: Cit
Phone No.772-497-4092 Zip Code: 34979 i `' 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: QC C057399
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i
I '
S'UPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: ;` r Not Applicable
Name: Name:
Address: Address:
City: State: City: I State:
'Zip: Phone Zip: Ph,one:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: ! _Not Applicable
Name: Name:
Address: Address: I
City: City:
!Zip: Phone: Zip: Phone:
Ii 1
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. 4'
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 alll 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 reviewa';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 insp tion you intend to obtain financing, consult with lender 6''r an attorney before
commencingork re din yourNotice of Commencement.
2;
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contracts r/License Holder
STATE OF COUNTY OF COUNTY
1� COUNTY OFSTATE OF ORIDAq��'
The forgoing i ument was acknowledged before me The f r oing in ment wasiackpo�wlledged before me
this�day of SL: 20�by this day of C Q_/20L by
Name of persolhaking statement Name of person aking statement
Personally Known V OR Produced Identification Personally Known OFR Produced Identification
Type of Identification Type of Identification ;
Produced Produced
�4v j�j A
(Signature o otary Publ -Stag of Flori a) (Signature of Notary Pub c-Sae of.FloricTa)
S R 4-s Felicia Lyne Wilkin I 5 Felicia Lyne Wilkin
Commission No. NOTIf'UBL1C Commission No. �' JqRY PUBLIC
STATE OF FLQkZIDA -STATE OF FLORIDA
Comm#GG103860f o �L
Co m#
GG103860
WN
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I, SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW ! REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17