HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Roof
�: PRO,POSED IIVIPROVEMENT,LO ,ATION,
Address: 373 NE Bracken Rd, Port St Lucie, FL 34983
Legal Description: RIVER PARK -UNIT 9- PART C
Property Tax ID #: 3415-570-0127-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
TO BE ACCEPTED - u
Permit Number: 4 c)
Application
RECEIVED
APR 20 2018
ST. Lucle County, Pern
mercial Residential
85 LOT 7 (MAP 34/21S)(OR 3110-833)
Right Side: Left Side:
DETAILED DESCRIPTION,OF�WORK `` 5.
Reroof- (Pitch roof) Remove existing roof cov
new asphalt shingles. (Flat Roof) Remove exi
Lot No. 7
Block No. 85
Dry in with self adhering underlayment and install
roof covering and install new modified bitumen.
CONSTRUCTION INFORMATION„ m
Aaanionai worK to De errormea unaer tins permit — cnecK all apply:
1]HVAC Gas Tank Gas Pipin In _ Shutters ❑ Windows/Doors y� t
��oJ
Electric ❑Plumbing Sprinklers � Generator E] 'Roof pitch
Total Sq. Ft of Construction: 2003 S . Ft. of First Floor: J IZ-�Ia
Li A -
Cost of Construction: $ 9,090 Uti ities:]Sewer 0Septic Building Height: J
,OWNER/L'ESSEE
q CONTRACTOR.
Name Starshine Properties -Geneva LLC
Name: Michael Miller
Address: P.O. Box 1352
Company: Trade Winds Roofing, Inc
City: Stuart State: FIL
Address: P.O. Box 13208
Zip Code: 34995 Fax:
City: Ft Pierce State: FL
Phone No. 772-486-1035
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
from the Owner listed above)
State or County License: CC C057399
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
e
SUPPLEIVIENTALf, NSTRUCTIO,N .LIEN
.. .. -
W INFORMATION. , : .
DESIGNER/ENGINEER: _ Not Applic
Name: Florida Engineering &Testing, Inc
Ad d ress: 250 SW 13th Ave
City: Pompano Beach State: FL
ble
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress:
City: State:
Zip: Phone:
Zip: 33069 Phone 86&781-6889
FEE SIMPLE TITLE HOLDER: _ Not Applicalble
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Address:
City:
Zip: Phone:
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is h�reby 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 L permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Ass clation 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.
Inconsideration of the granting of this requested permit, II 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 fro 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 N I tice of Commencement may result in your paying twice for
improvements to your property. A Notice of Corr mencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtahm financing, consult with lender or an attorney before
commencing Workh recording vour Notice of Commencement. i%
Signature of Owher/ Lessee/Contractor as Agent for
STATE OF FLORIDA,
COUNTY OF >� C
The . or oing instru ent was cknowlecleo before me
this day of c �� 20- �j by
ON,�t=ZV_YA
l\ �V
Name of person n)6king statement
Personally Known l/ OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pub c- S-taV of Florida )
Commission No. t R q FglicpiaIne Wilkin
o NOTi�W PUBLIC
I� -ESTATE OF FLORIDA
Signature of Contractor/License Holder
STATE OF FLORID � � X � l s
COUNTY OF
The go' Instrument was acknowledged before me
this y of �V , 20 by
W t C V1G@ )i Y\& Y
Name of person rpaking statement
Personally Known �, OR Produced Identification
Type of Identification
(Signature of Notary Public -State offforida )
Commission No.
Lyne Wilkin
ZY PUBLIC
OF FLORIDA
r1Ereo S� RIREVIEWS
REVIEW Ex�ir
REVIEWS FRONT ONINGPERIVON S LEMANGROVEICONTER RVW' I REVEW I IREVIEW
DATE
COMPLETED
Rev. 8/2/17