HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: J`J�`S SCANNED Permit Number:
• St Lude MUD&
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
PERMIT APPLICATION FOR: Roof
PROPOSEb-IMPROVE MENT LOCATION:
Address: 5309 Stately Oak St, Fort Pierce, FL 34981
Legal Description: SOUTHERN
Property Tax ID #: 3404-71
Site Plan Name:
Project Name:_
Setbacks Front
ESTATES LOT 31
DETAILED DESCRIPTION'bF WORK:-.
9'()3 r 014gc(
Residential
FIRST AMENDMENT 5-23-88: 911-96)(OR 1298-2113)
Right Side: Left Side:
Lot No.
Block No.
Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new
f
CONSTRUCTION INFORMATION:
Additional work to e e Irme under this permit —check all tha apply:
F1HVAC Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof 5�12 Roof pitch
Total Sq. Ft of Const
Cost of Construction: $
3950
.075
S Ft. of First Floor: _
Utilities:] Sewer F]Septic
Building Height:
OWNER/LESSEE:.
CONTRACTOR:
Name Mark & Sharon George
Name: Michael Miller
Company: Trade Winds Roofing, Inc
Address: 5309 Stately Oak St
City: Fort Pierce IState: FL
Address: P.O. Box 13208
Zip Code: 34981 Fax:
City: Fort Pierce State: FL
Phone No. 772-216-0610
Zip Code: 34979 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
State or County License: CC C057399
from the owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIE N1A.W INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
pp
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: _Not Applicable
Name:
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, theiFlorida 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 work or re2ordine vour Notice of Commencement.
I
I
Signature of Owner/ essee/Contractor as Agent for Owner
Signature of Contractor/License o er
STATE OF FLORID 1 fI n p
OF
STATE OF FLORIDA I 1 n pCOUNTY
COUNTYOF 1 uej
Vl/l . 11�-
I
The or oin instr ent was cknowled a before me
l by
The f r oin m inst ent was acknowled tbefore me
this day of D iiG� 2�� by
this day of t 20
c_�WuA N 1 i
V�l1 �h Ml(\U_r
Name of person m ing statement
Personally Known OR Produced Identification
Name of person making statement
Personally Known — -�,�0R Produced Identification
Type of Identification I
Type of Identification
Produced
Produced
'4J 1 WLL
Y \
(Signature of Notary Public- St 'of Florida )Felicia Lyne Wilkin
s
(Signature of Notary Public- St#to of Florida)
Commission No. �� R Asso Felicia
iI�RY P BLIC
N TARP PUBLIC
Commission No.
MATE OF FLORIDA
C STATE OF FLORIDA
o
c
o Comm# GG103860
Comm# GG103860
ry 10
Expir
s 9/4/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17