HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) _
Date: Permit Number: l J O'
LQ
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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
PROPO$ED-IMPROVEMENT;L"OCATION
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Address: 7830 Meadowlark LN Port St Lucie, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB-BLK 49 LOT 25 (OR 3579-2119)
Property Tax ID#: 3425-706-0184-000-4 Lot No.25
Site Plan Name: Block No. 49
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAI4L`ED DESCRIPTION OF V1/ORK
Reroof-Remove existing roof covering, dry-in and install new asphalt shingles.
Roof Pitch-2 1/12/ 12
Shingle product approval-Manufacturer-Owens Coming Product Type-Oakridge Product Approval#-FL10674-R10
Self Sealing Underlayment-Manufacturer-Polyglass USA Product Type- Underlayment Product Approval#-FL5259-R23
CONSTRUCTIONAN.FORMATION
Additional work to be performed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers [Generator Roof
Total Sq. Ft of Construction: 1740 S of First Floor:
Cost of Construction.$ 7535 TiUtilities: Sewer Septic Building Height:
OWNER/LESSEE ;. CONTRACTOR:
Name David E Phillips Name: Michael Miller
Address:7830 Meadowlark Ln Company: Trade Winds Roofing, Inc
City: Port St Lucie State:FL Address: P.O. Box 13208
Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.330-606-8297 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 LAW 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 insp ction. If you intend to obtain financing, consult with nder or an attorney before
commencin or r recordingour Notice of Commencement.
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_Signat re of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FL0ffD# STATE OF FLORIDA
COUNTY OF IC`'2 COUNTY OF
The f,4rg^oing instrumen was acknowledged efore me The f rgoing instrument was acknowledged before me
this day of 20 by this day of � — .201 r�by
M \ov�ne1 M 1\ Q ►2 M (�Ina I )m I
(Name of person acknowledging) (Name of person acknowledging)
ou� di :42� I A 0, r4cl& Om
(Signature of Notary Publi State of orida) (Signature of Nota___/OR
Public-Sta of Florida
Personally Known ""/ OR Produced Identification Personally Known v/OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. CYNg'GANDEE Commission No. SP®OCIALYNEGANDEE
r' NOT PUBUC
STATE OF_FLORIDA NOTARY PUBLIC
Revised 07/15/2014 • Exp rest 9!412017 CF
omm#FF051263
Expires 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS