HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Roof
PROPOSED IMPROVEMENTLOCATION:
Permit Number: (90a- 0g01
SCANNED
BY
Building Permit Application St. -Lucie County
Commercial Residential '�'/
Address: 2707 N Al A Apt H, Ft Pierce, FL 34949
Property Tax ID #: 1425-701-67-290-7 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Reroof porch roof- Remove existing roof covering and install new modified bitumen.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof 1i4/12 Pitch
Total Sq. Ft of Construction: 160 Sq fit
Cost of Construction: $ 3,350
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: ;
Name Shawn Deggins
Name: Michael Miller
Address:2801 N Al Apt H
Company: Trade Winds Roofing, Inc
City: Hutchinson Island State: lP4_
Zip Code: 34949 Fax:
Phone No. 504-250-9778
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-nextpage{_if-different—
from the Owner listed above)
-E-Mail M ike@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.
SUPPLEMENTAL CONSTRUCTION'LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:•1-1 ?-A5trtQ-cxl-fT-et) +r InC-
MORTGAGE COMPANY: Not Applicable
Name:
Add05t3Y'`�-AVF—
Address:
Cit✓3 -o egk� State: FLU
Zip: 3 Phone_ SGe to -'1 81 (0 F?gc:i
City: State:
- - -
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOURLENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O"OMMENCEMENT."
Signature of Owner Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA \ ' '
COUNTY OF � WA C Q
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledgebefore me
this day of LA-EP-( 20_ by
The for oing instrument was acknowledge$ before me
this day of 7-f-10U CaM by
OV (AN a o
Name of person making sta ement.
Name of person makings statement.
`�
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Pro uced
id
Dyne /UNv'gcln
Produced
licNAy��1 n
(Signature of Notary Public- St a .Felicia LEI
(Signature of No=76
NOTARY PUBLIC
NOTARY PUBLIC
Commission No. STATE OF FLORI
ow
ommission No.§W OF FLORIDA
Comm# GG1038
Comm# GG103860'
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW_
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19