HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q u
Date: yIa51 1'� Permit Number:
SCANNED RECEIVED
-" BY
• , St. Lucie County APR 2 5 2019
- ---- -- _ Building Permit Applicati n
Planning and Development Services ST. Lucie County, rmit
Building and Code Regulation Division
230D Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:ROOf
PROPOSED IMPROVEMENT LOCATION:
Address: 1840 Bar Harbor Dr, Fort Pierce, FL 34945
Property Tax ID #: 2303-21-0025-000/5 Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Block No.
Reroof- Remove existing roof covering, dry in with self -adhering underlayment and install new 5V Crimped
Metal roofing. , I.
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 3112 Pitch
Total Sq. Ft of Construction: 880
Cost of Construction: $ 6,745
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OW N ERAESSE E:
CONTRACTOR:
NameThomas Dickinson 8 Golden Ponds
Name: Michael Miller
Address:1856 Bar Harbor Dr
Company:Trade Winds Roofing, Inc
City: Fort Pierce State: FL-
Zip Code: 34945 Fax:
Phone No.772-226-9673
Address: P.O. Box 13208
City: Fort Pierce State: FL
Zip Code: 34979 Fax: 772466-9725
Phone No772466-9420
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.
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anScovenants 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signatur& of Contractor/License Holder
STATE OF FLCOUNTYOFORIDAG`�
STATE OF ORIDA S�t CC�
COUNTYOF
The forrgg mg instrument wa acknowledgedbefore me
this ZS1qayof rL 20by
The forgoing instrument w s acknowledge�,yefore me
this �'r"dayof rl 201 by
_IMFrhn d Is/
MI (shi) 0J ✓hl((L-41
Name of person making statement.
Name of person making sta ement.
�OR
Personally Known Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Prod ced
_,
podued
v�AOTARY
(Signature of Notary Pu lic tate of Floridala
(Signatture of Notary Public- StaVe
PUBLICFel,
Lyre Wilkln
STATE OF FLORIDA
Commission No. N Y PUBLIC
Commission No. GG103866
ST OF FLORIDA
!'" Comm11 GG10388U
iExpires 9/4/2021
Vr Expirei
9/4/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.Z/7/19