HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL
B
PLICABLE INFO
,jMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
S ANNEo Permit Number:
BY
Building Permit Application
ing and Development Services
ng and Code Regulation Division
Virginia Avenue, Fort Pierce FL 34982
e: (772) 462-1553 Fax: (772) 46271578
RECEIVED
AUG 01 2019,
ST. Lucie County,.P MIt1_ig.
Commercial. Residential
PER
IT APPLICATION FOR: - Roof S� �,rg�c S a
PRO;-�OS`EDFINIPROUEIVIENTLOCATION
r � 'v��nfi3 3 �X
Addr s: 2710 S 28th St, Ft Pierce, FL 84981
Legal escription: Merriweather Park Lot: 23 Blk: 2
Propel y.Tax ID #: 2420-802-0045-000-5 Lot No. 23
Site P In Name: Block"No. 2
Proje Name:
Setbal ks Front Back: .Right Side: Left Side:
Remove existing roof covering, dry in and install new asphalt shingles.
rn��� ��u r� �-�v�►ryi�_r�l - Chi o�.-�,r c� .o �� .
Aciam nal worK to ue errormea unciertnis permit- cnecK allMShutters-
apply:-
ElVAC Gas Tank Gas Piping " ❑ Windows/Doors
�_ lectric Plumb' ` .Sprinklers Generator Roof 3�12 Roof pitch -
Total
S�� . Ft of Construction: 1852 S Ft. of First Floor: IZ'Fla4�
Cost o Construction: $ 10,340 Utilities:�Sewer 0Septic Building Height:
� u�.a.o-�..
OUVN�R/LESSEE , {.�`��µ��C®,NTRACT®R:
m
Name ark Kicklighter
Name: Michael Miller
Addres :5920 NW Batchelor Terr
Company: Trade Winds Roofing, Inc
City: P it St Lucie State: FL
Address: P:O" Box 13208 II
Zip Co e:- 349.86 Fax:
i
City: Fort Pierce. State: FL I
Phone o. 772-519-3312
Zip Code: -34979 Fax: 772-466-9725
E-Mail
Phone No. 772-466-9420
Fill in f' a simple Title Holder on next page ( if different.
E-Mail: mike@tradewindsroofing.com
State or County License: CC C057399
from t Owner listed above)
If value Qlf construction is $2500 or more, a RECORDED Notice of Commencement is required.
5U1N1'LtlVlt'N;;IHL',LUNJ,I,KU.I::I IUN;LftN-LHW LIV,t UKIVI'H I IU.N
*r
DE IGNER/ENGINEER• Not Applicable MORTGAGE.COMPANY: _ Not Applicable
Na e: �vYclo� RJLQ.f� `i�r-�sh Name:
Address: ress: 2 O Address:
Cit�i�,6rn OLno c:� State: � City: State:
Zip; -a OU_c( Phone (,g$ Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Na e: Name:
Ad� ress: Address:
Citvi 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 certi that no work or installation has commenced prior to the issuance of a permit.
St. Lu I e County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In con ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acc rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fo� owing 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
WARIMING 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
befog the first inspection. If you intend to obtain financing, consult wit lender or an attorney before
com � "encinliwork oprecording your Notice of Commencement. -
ure of Owner/ Lessee/Contractor as Agent for Owner
STAT�TY
OF FLORIDA. _,
Cou,, OF �
The f r oinginstrpAient was ackn wledg �i�before me
thisl, day of `� 20by
Name of person m king statement
Perso ally Known OR Produced Identification
Type Of Identification
of Notary Pu lic- ate of Florida )
ad_0y,� Felicia Lyne Wilkin
i No. AV ° N0IMPUBLIC
_STATE OF FLORIDA
Comm# GG103860
Signature of Contractor/License Holder
STATE OF FLORID srk— wo
COUNTY OF .
The for oing instrument was ackn ledged efore me
this day of 20 Q( by
Name of person u4king statement
Personally Known OR Produced Identification
Type of Identification
Produced 41
{Signature of Notary Pu
Commission No.
i
Pd icia Lyne WiIkin
NOTARY PUBLIC
OF FLORIDA
Comm# GG103860
Pvniraa G/Ai'M04
REVIiWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEI,
ED
DATE
COMPLETED
Rev. 8/2,117