HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2
Date: Permit Number: ci aED
EI ED
B��Id
Planning and Development Services
Building. and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
r MAR 0 7 1018
g(Permit Application Permitting Department
St. Lucie County
V
Commercial Residential,
PERMIT APPLICATION FOR: Roof
PROPOSED iMPROVEMENT`LOCATI"ON:
Address: 12 San Felipe, Fort Pierce, FL 34951
Legal Description: 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:
Right Side: Left Side:
Lot No.
Block No.
,
DETAILED DESCRfPTION OF WORK �1,
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new 5V
crimped metal.
'CONSTRUCTION INFORMATION .:
-AUaitional work to be nertormed under this permit —check
DHVAC Gas Tank ❑Gas Piping
all
tha apply:
Shutters
Q Windows/Doors
Electric ❑ Plumbing
❑Sprinklers
I
_
E Generator
E]Roof Roof pitch
Total Sq. Ft of Construction: 1550
S . Ft. of First Floor:
Cost of Construction: $ 10,690
1 Utilities:ll Sewer ElSeptic
Building Height:
OWNER/LESSEE:.
CONTRACTOR:
Name Wynne Building Corp & Roger Ammon
Name: Michael Miller
Address:12804 SW 122nd Ave
Company: Trade Winds Roofing, Inc
City: Miami State: FL
Zip Code: 33186 Fax:
Phone No. 772-461-1871
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.
1 . I — _ n
(R-w."
SUPRLEMENTAL CONSTRUCTION .LIEN LAW FORMATION
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
_ Not Applicable
State:
I
MORTGAGE COMPANY: _ Not Applicable'
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address: _
City:
Address:
City:
Zip: Phone:
i
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. I you intend to obtain financing, consult with lend e/r� r an attorney before
commenVn'S korlar recoing your Notice of Commencement. ,l�!,�
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORID
COUNTY OF FLORID
COUNTY
The forgoing instr n-y�nA Ya�a�kQ___�edgeG`befori me
this 2'1' �iay of Y_V ( 20M by
Name of person king statement
Personally Known OR Produced Identification _
Type of Identification
Produced
-�v h-1 I -a -
(Signature of Notary Pu lic- S6Ae of Florida )
Felicia Lyne Wilkin
Commission No. �2 NOTA""UBLIC
a STATE OF FLORIDA
Comm# GG103860
Signature of Contractor,
STATE OF FLORID�� I �n n
COUNTY OF /,
The foSgoing instr ent was acknowledge before me
this _day of i r 20� by
Name of person aking statement
Personally Known OR Produced Identification
Type of Identification
Produced
A
(Signature of Notary Pu
Commission No.
Florida )
s Felicia Lyne Wilkin
N�Wy PUBLIC
I -+STATE OF FLORIDA
Comm# GG10386d
xplres
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17