HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0 y�
te: CV T Permit Nu �f
SCANNED E C"' " E2 I V E D
BY
Bull�L-ing Permit Applicatio6 JUN 2 9 2018
Manning and 'Development Services
uildingandCodeRegulationDivision Permitting Dep went
300VirginiaAvenue Fort Pierce FL34982 St. LUCIe C t�/, I'L
hone: (772) 462-1553 Fax: (772) 462-1578 Commercial flesidenu
ERMIT APPLICATION FOR: Roof
--
P��E., LOC� SEp �RQRM_PZVE�..
address: 22i$/_6}'rima Vista Blvd, Port St Lucie, FL 34983
regal Description: RIVER PARK -UNIT 5 BLK45 LOT 11 (MAP 34/28N) (OR 3805-2914)
�roperty Tax ID #: 3419-540-0065-000-7 Lot No.11
;ite Plan Name: Block No. 45
)roject Name:
Setbacks Front Back: Right Side: Left Side:
Flat Roof- Remove existing roof covering on the flat roof and install new modified bitumen
roofing.
AaamonaiworKioDe errormea unaertnispermn—cneMan apply:
E1HVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
r
11 Electric ❑ Plumbing Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 84 Sq Ft S . Ft. of First Floor:
Cost of Construction: $ 1,850 Utilities:Sewer OSeptic Building Height:
OWNER%LES1SEE:
CON%RACTOFt:
Name Growever Investment LLC
Name: Micheal Miller
Address: 5047 N Ala Apt 1004
Company: Trade Winds Roofing, Inc
Address: P.O. Box 13208
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
City: Fort Pierce State: FL
Phone No. 772-217-4464
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 $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
Na
Ad
Ci
Ziplll
_ Not Applicable
j e:—low� �L
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
ress: —250 S(--1 � 3�^ I�t�� •
'� aL� Sta -� L
Phone Q5 --I—
FE
Name:
Add
SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
ress:
Ci
Zi Phone:
Zip: Phone:
ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
y that no work or installation has commenced prior to the issuance of a permit.
le County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
ire. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cdnsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in a cordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Theollowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acceissory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
Wfi�RNING 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
cori mencfne Work or recording vour Notice of Commencement. ,
re of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
TE OF NTY OF FLORIDA j , ��y I COUNTY OF STATE OF FLORIDA s+ 1 � � (, ` e
instr ment was acknowledged before me
of V- r-A 20jl by
Illy ltcy)a 0 Yylklvr
Name of person m king statement
P rsonally Known OR Produced Identification
T pe of Identification
Pp oduced
(Signature of Notary Public-Sf'ate o Iorida
JI, g y� elicla Lyne Wilkin
J 1o� _�TARY PUBLIC a mmission No. ATE OF FLORIDA
Comm# GG103860
EWS
OMPLETED
. S/2/17
The for jng instr ment was acknowledge before me
this 7 ay of 201 by
Name of person king statement
Personally Known OR Produced Identification
Type of Identification
(Signature of Notary Public- Sta�o ' a Felicia Lyne wnKm
NOTARY PUBLIC
Commission No. TE OF FLORIDA
` Comm# GG103866
E l e Expires 9/4=21
FRONT ZONINGCOUNTER I REVIEW I S REVIIEWUPERVISOR I RE EW LANS I VEGETATION I S REVIEW LE I MANGROVE