HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO
/MUST BE COMPLET D FOR APPLICATION TO BE ACCEPTED4-0
{ Date:I k �' �i Permit Number: lJ
W RECEIVED
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NEW
Buil ing Permit Application APR /zP
18
Planning and Development5ervices
Building and Code Regulation Division ST. Lucie Co'ermitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-157 Commercial Residential
PERMU APPUCAMON FOR: Roof
PROPOSED_:IMPROVEMENT LOCATf _`N
Address: 41 San Luis Obispo, Fort Pierce, FL 3 951
Legal Description: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:. _
Reroof- Remove existing roof covering, D in with self adhering underlayment and install new 5V
Crimped Metal. ,
CONSTRUCTION,INFORM ATION,
rtiona I work to be erformed under this permit check all apply:
E_]
HVAC Gas Tank ❑Gaslpiping
Shutters F]Windows/Doors
Electric ElPlumbing
Total Sq. Ft of Construction: 1526
Cost of Construction: $ 7940
Spri
MGenerator
ars E] Roof 5-al Roof pitch
5 . Ft. of First Floor:
Utilities:SewerE]Septic Building Height:
OWNER/LESSEE:
,CONTRACTOR:
Name Wynne Building Corp & Wendy Kahl
Address: 12804 SW 122nd Ave
City: Miami State:FL
Zip Code: 33186 Fax:
Phone No. 772-464-8238
Name: Michael Miller
Company: Trade Winds Roofing, Inc
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 differ fit
from the Owner listed above)
State or County License: CC C057399
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CJNSTRUCTION LIEN LAW INFORMATION:
I
DESIGNER/ENGINEER: Not A plicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLEHOLDER: _ Not Ap licable
Name:
Address:
BONDING COMPANY: _Not Applicable
Name:
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 II rior to the issuance of a permit.
St. Lucie County makes no representation that is gran ing a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners ssociation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Ass ciation and review your deed for any restrictions which may apply.
In consideration of the granting of this requested per it, I do hereby agree that 1 will, in all respects, perform the work
in accordance with the approved plans, the Florida Buf ding Codes and St. Lucre CourrtyAmendmerits.
The following building permit applications are exempt rom undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, si ns, 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 Q mmencement must be recorded and posted on the jobsite
before the first inspection. If you intend to ob in financing, consult with leader or an attorney before
commencing v�/ork or recording vour Notice of Commencement.
Signature 6f owner/ Lessee/Contractor as Agent for O ner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORID\
`�
COUNTY OF
The fo going instr ent was acknowled a before me
this day 1n ` 20 by
The f oing instr ent was acknowledged before me
this day of 20 \?jby
of
1 R
YY11 CCZ M Lty-
Name of person aking statement
Personally Known r OR Produced Identification
Name of perso aking statement
Personally Known rOR Produced Identification
Type of Identification
Type of Identification
Produced
�40 �IAO
Qscrduced
LAA
(Signature of Notary Public- Stat f Florida)
(Signature of Notary Pu lic- to of Florida
Felicia Lyne Wilkie,
t
Commission No. Q �({�W1 RY PUBLIC I
INR Felicia Lyne Wilkin
Commission No. as �f N PUBLIC
STATE OF FLORIQA
L
Comm# GG103864
a STATE OF FLORIDA
�z
Comm# GG1038W
E t Expir
s-9/4/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
I
DATE
COMPLETED
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Rev. 8/2/17