HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST B �CjOPLD FOR APPLICATION TO BE ACCEPTED p�
Date: ON{ is Permit Number:
aid
Building Permit Application
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 APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5205 Ft Pierce Blvd Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 3-BLK 21 LOT16 (MAP 13/11S)(OR 3189-1238)
Property Tax ID#: 1301-603-0133-000-9 Lot No. 16
Site Plan Name: Block No. 21
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESl' CRIPTION`OF.WORK.
Reroof-Remove existing roofing,dry-in and install new asphalt shingles on slope roof&modified bitumen on flat roof.
Roof Pitch-3/12 ,,Total roof area-2800 sq ft
Product approval Shingles-Manufacturer-Owens Coming Product Type-Duration FL#-FL10674-R10
Product app mal[Modified Bitumen-Manufacturer-Johns Manville Product Type-Modified Bitumen FL#-FL1046-R7
Product alUnderlayment-Manufacturer-Polyglass USA Product Type-Underlayment FL#-FL5259-R23
CO 8TRUCTION LNfORIVIATION
Additional Wof toe; a orme under this permit—check a appy:
HVAC 'G.a Tank Gas Piping _Shutters Q Windows/Doors
Electric E � mbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ �U Utilities:CnSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR
Name Thomas Dickinson&Fran Dickinson Name: Michael Miller
Address:5205 Ft Pierce Blvd Company: Trade Winds Roofing, Inc
City: Fort Pierce State:FL Address: P.O. Box 13208
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.772-242-8188 Zip Code: 34979 Fax: 772-466-9725
E-Mail: Phone No. 772-466-9420
Fill in fee simple Title Holder on next page(if different E-Mail: Mike@tradewindsroofing.com
from the Owner listed above) State or County License: CC C057399
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION,LIEN 1.r41N INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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
commencingAmoor recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLOLRIPA STATE OF FLORIDA
COUNTY OFc - �aCJ� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this '-L day of 20 Eby this_] day of 20 !a by
MN c� el I(�l� 11��2 M , c o�l }Ml ILLY-1
(Name of person acknowledging) (Name of person acknowledging)
c _
Iwo i4m-C
(Signature of NotaryPubblic- tate f Florida) (Signature of Notary P n lic-S ate of Floa)
y
Personally Known v OR Produced Identification Personally Known V)OR Produced Identification
Type of Identification Produced Type of Identification Produced
CIA LYNE GAND ECom mission "zPall
Commission No. TARYPUSLIC on No. FELIUkLYNEGANDEE
STATE OF FLORIDA NOTARY PUBLIC
Lviviffin PFWIZW OF FLORIDA—
Revised 07/15/2014 Expires 9/4/2017Conwfv#FF051283 W_
Expires 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
I N ITIALS