HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr v
i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /j I
Date: Permit Number:
Buildi
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 11
Address: 7301 Marsh Ter, Port St Lucie, FL 34986 � ,
Legal Description: MARSH LANDING AT THE
Property Tax ID #: 3321-804-0008-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Reroof- Remove existing roof covering, dry in
.O 41-. ..
placation , �
Residential ti
ONE -LOT 1 (MAP 33/21N) (OR 3931-1043)
Side: Left Side:
install new concrete tiles.
L _l Shutters
Generator
Lot No.
Block No:
Windows/Doors
F Roof M
Total Sq. Ft of Construction: S Ft. of First Floor:
36,500
Cost of Construction: $ Utilities: Sewer 13 Septic Building Height:
Name Bright Harbor Capital Properties LLC
Address: 7301 Marsh Ter
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-212-0287
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Michael Miller
Company: Trade Winds Roofing, Inc
Address: P.O. Box 13208
City: Ft Pierce State: FL
Zip Code: 34979 Fax: 772466-9725
Phone No. 772466-9420
E-Mail: Mike@tradewindsroofing.com
State or County License: CC C057399
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
1
$UPPLEIN, ENTAL
COiVSTRUGT1
NOILTEN;LAIN INFORMATION
'
a x f
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
City:
State:
Ad d ress:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
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 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, 1 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. If you intend to obtain financing, consult with lender or an attorney before
commenciA wA or recording your Notice of Commencement. /
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contra r/License Holder
STATE OF FLORIDA c
COUNTY OF l
STATE OF FLORIDA ' {
COUNTYOF
The for o' g instrument was acknowled ed before me
this day of Y \D 210kL by
The forgoing instrument was acknowledged before me
thisT `day of Y -0 20 lb by
Name of person aking statement
Personally Known OR Produced Identification
Name of personlaaking statement
Personally Known ✓✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
r
(Signature of Notary Public- 107,.RY PUBLIC
(Signature of Notary Public -St a of Florida Lyne Wifkin
Commission No. S� OF FLORIDA
Comm GG10386d
� E i ° Expires 9/4/2021
Commission No. f
_ (3X'rE PUBLIC
OF FLORIDA
Comm# GG103860
ri
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REV
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17