HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
PROPOSED :IIVIPRCIVEIVIENT:;LOCATION
Address: 6740 Dulce Real Ave, Fort Pierce, FL 34951
Legal Description: Spanish Lakes Fairways SECT 6&7 TWP 34 RANGE 39
Property Tax ID #: ` �►L ' 1" ���� - oc)b - V Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION, -OF WORixl
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new 5V
Crimp Metal roof.
CONSTRUCTION INFORMATION
Additional work to be pertormed under this permit —,check all tha apply:
r_HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing []Sprinklers Generator E] Roof 3 12 Roof pitch
i
Total Sq. Ft of Construction: 1530 S . Ft. of First Floor:
Cost of Construction: $ 8610 Utilities:ll Sewer O Septic Building Height:
OWNER LE -
SSEE -
CONTRACTOR:'
Name Wynne Building Corp & John Morin
Name: Michael Miller
Address:12804 SW 122nd Ave
Company: Trade Winds Roofing, Inc
City: Miami State: FL
Zip Code: 33186 Fax:
Phone No. 978-660-7426
Address: P.O. Box 13208
City: Fort Pierce State: FL
Zip Code: 34979 Fax: 772-466-9725
Phone No. 772-466-9420
E-Mail: Mike@tradewindsroofing.com
E-Mail:
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,LIfN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Southeast Building Engineers, LLC
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address: 5911 Pescara Dr
City: Pace State: FL
Zip: 32571 P h o n e 772-774-9086
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Add ress:
Address:
City:
Zip: Phone:
City:
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 firs�, ins ection. If yo intend to obtain financing, consult wi h le er or an attorney before
commenc�nR w,,,orVbr recordiniyour Notice of Commencement.
Signature of Otvnery Lessee/Cont ctor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI[ \A j e l Q� k-
STATE F t f� l
COUNTY OF �/�,
.ORI
COUNTY OF
The or oing inment was a knowledged before me
this day of ]�E? C Q 1 . 20]�by
The for oing ins rument was a kno ledged before me
this day of iYi {9� 20_0 by
1 C_ )Cl Q—� r Y 1 I 11X_(
V Y I\ c a i` V I i� W/
Name of peaking statement
rson �OR
Name of persorymaking statement
✓
Personally Known Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- ate of Floriid/a)
(Signature of Notary Public- of Flo€ew y
e t i L ne Wilkin
F Lyn& Wilkin
Commission No. . i
NOTARY PUBLICi
R AS NO �RY� PUBLIC
Commission No. kF FLORIDA
"- ST
'
-STATE!OFLORIDA
�i COMM#GG103660
9/4/2021
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�GPERVIS0R
REVIEWS
FRONT
ZONING.xpire
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17