HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c� —
-Date:_11--- - - - - --— --- Permit Number: 1���
JAN 2 3 2,919
Building Permit Applicatio sr. Lucie Cot�nry ern
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 Residential
PERMIT TYPE: ROOF , .t 1 SCANNED
PROPOSED INPROVEMENT LOCATION: BY
St. -, ..d cucrcG8ki1'I tllr'
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Address: zi t4 `o Gf 1° at, rt rwice, rt_ ogao 1
Property Tax ID #: 2420-801-0039-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Reroof- Remove existing roof covering, dry in and install new 5V
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CONSTRUCTION INFORMATION:•
Metal
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric —Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 1900 sq ft Sq. Ft. of First,Floor: _
Cost of Construction:$ 5000 Utilities: _Sewer _Septic
Lot No.17 & 18
Block No. 2
Windows/Doors
Roof 4112 Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael & Michele Miller c
Name: Michael Miller
Address: P.O. Box 13208
Company: Trade Winds Roofing, Inc
_
City: Fort Pierce' State:
Zip Code: 34979 Fax:
Phone No. 772-466-9420
Address: P.O. Box 13208
City: Fort Pierce State: FL
Zip Code: 34979 Fax: 772-466-9725
Phone No 772-466-9420
E-Mail:
Fill in fee simple Title Holder on next page( if different
from the Owner listed above)
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.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.--
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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, I 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
commenginpwork or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA C '�C 1 c
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STATE OF 1 �G I
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COUNTY OF
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The forgoing instrument was acknowleciggcjpefore me
this day of L.L Ct, 20_ by
The forgoing inst ument was acknowledged efore me
this day of nL- 20 i by
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game of person making staterftent.
Name of person making stat ent.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Public ta% f Floftaa Lyne Wilkln
(Signature of Notary Pu ic- to goridP licia Lyne Wilkin
NOTARY PUBLIC
Commission No. �$� OF FLORIDA
OT RY PUBLIC
Commission No. = OF FLORIDA
lam` Comm# GG103866
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1 Comm# GG103860
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW.
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Kev. y/1b/18