HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONY
I
ALL APPLICABLE INFO MUST BE CO PLETED FOR APPLICATION TO BE ACCEPTED11� `ton
6
Date: Permit Number:
SUANNED
I�
•
_ Building Permit Application
PI!
arming and Development Services Y
:2V
Building and Code Regulation Division �` �'`
2 300 Virginia Avenue, Fort Pierce FL 34982 Pennr�i ' E��srtmer9t
Phone: (772) 462-1553 Fax: (772) 62-1578 Commercial Residential�1�6%hm/
i
PERMIT APPLICATION FOR: lRoof
PROPOSED IMPROVEMENT LOCATION:
Address: g pra 4901 Seagrape Dr Fort Pierce, FL 34982
Legal Description:
INDIAN RIVER EST TES -UNIT 07- BLK 27 S 112 OF LOT 36 AND ALL LOT37 (MAP 34102N) (OR 3932-1631)
Property Tax ID #- 3402-608-0032-00 -2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
f�
DETAILED DESCRIPTION OF ORK:, ,
Reroof- Remove existing roof cvering, dry in with self adhering underlayment and install new 5V
crimped metal roofing.
CC>tNSTRUCTION INFORMATION:
Additional wor to e e orme u er t Is permit — check a apply:
UHVAC ri Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
I� Electric El Plumbing ❑Sprinklers ElGenerator E]Roof 3�12 Roof pitch
Tote I Sq. Ft of Construction: 4621 S . Ft. of First Floor:
24,175
Cos of Construction: $ Utilities: Sewer Septic Building Height:
01NNf
R/LESSEE:
CONTRACTOR::'
Nal
Ad
Cit�i�:
ZipiCode:
Ph
E-Mail:
a Louis Helwig & Cheryl Helwig
Name: Michael Miller
Trade Winds Roofing, Inc
Company: 9,
Address: P.O. Box 13208
4901 Sea ra a Dr
ress: g p
Fort Pierce
34982 Fax:
ine No.904-315-9433
State: FL
City: Fort Pierce State: FL
Zip Code: 34979 Fax: 772-466-9725
Phone No. 772-466-9420
Fill
fee simple Title Holder on next
page ( if different
E-Mail: Mike@tradewindsroofing.com
from
lin
the Owner listed above)
State or County License: CC C057399
IT value of construction is :�Z500 or more a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUC
ION: LIEN LAW INFORMATION
DESIGNER/ENGINEER:
�ame:
Address:
City:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
State:
Zp: Phone
FEE SIMPLE TITLE HOLDER:
ame:
Address:
City:
Zip: Phone:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
I�
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 ommenced-prior.to the issuance of a permit.
St. {ucie County makes no representatio that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable H me Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Hom Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all, respects, perform the work
in ccordance 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, fe ices, walls, signs, screen rooms and accessory uses to another non-residential use
W %RNING.TO OWNER: Your failur to Record a Notice of Commencement may result in your paying twice for
Improvements to your property. Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you i tend to obtain financing, consult with lender or an attorney before
rnr4l,menring wnvk nr rernrrlino vn it NntirP of C'nmmanramant i
Si"nature
of Owner/ Lessee/Contractor
as Agent for Owner
Signature of Contractor/License Holder
STATE
OF FLORIDAS
�� .
STATE OF FLORIDAcf)-
COUNTY
OF
I
COUNTY OF
T
this
e for oing instr ment was acknowle
day of l.� �i' 2
ged before me
� by
The folgoing instr ent was ack owledged before me
this 1�j day of 20-L0r., by
`
X
Name of person ng statement
Name of pe r son ing statement
Personally
Tripe
Known OR Produce
Identification
Identification
Personally Known OR Produced Identification
Type Identification
Pr
of
of
Pro ced
jdced
�`
(Signature
of Notary Pub - State of FI
R
ri ll
dFelicia Lyne Wilkin
' }CRY PUBLIC
�ST
(Signature of Notary Public-V/t;
C ii
mission No. .�AROF
UBLIC
Commission No. �Q'!QF FLORIDA
GG103860
j'3
z
FLORIDA
Comm#GG1038W
C1#
Expires 314/2021
E I0
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
it
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
D
'TE
RECEIVED
DATE
COMPLETED
Rev.J!8/2/17