HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,
Date: Permit Number:/, !a�t2 DKV V
aIS RECEIVED
Building Permit Application :DEC 2 12015
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
P-RO:POSEb IMPROVEMENT LOCATION
L' I
Address: 5 Quito, Fort Pierce, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB-SECT 6 TWP 345 RANGE 39E
PropertyTax ID#: 1301-113-0001-000/1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED_DESCRIPTI:ON O,F WORK r f'
Reroof-Remove existing roof covering,Dry-in and reinstall asphalt shingles.
Roof slope-21/2:12 Sq Ft-1450
Product Approval:Owens Coming,3 Tab shingles, FL10674-Rl0
CONS TRUCTION,INFORMATION
Additional`work toe performed under this permit—check a appy:
HVAC0 Gas Tank ❑Gas Piping MGenerator
Shutters Windows/Doors
0 Electric 0 Plumbing OSprinklers EIRoof
Total Sq. Ft of Construction: 1450 S . Ft.of First Floor:
Cost of Construction:$ 5330 Utilities:]Sewer E]Septic Building Height:
OWNWLESSEE CONTRACTOR:
Name Pietemeila VanOvost,Winn Corpation Name: Michael Miller
Address: 12804 SW 122nd Ave Company: Trade Winds Roofing, Inc
City: Miami State:FIL Address: P.O. Box 13208
Zip Code: 33186 Fax: City: Fort Pierce State:FL
Phone,No.706-455-5623 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$2500 or more,a RECORDED Notice of Commencement is required.
SURTP/LEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements toyo property.A Notice of Commencement must be recorded and posted on the jobsite
before the firs Ins ion. If you intend to obtain financing, consult with lender or an attorney before
commencin or r ordin our Notice of Commencement. Off
s
ignature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORM STATE OF FLO A
COUNTY OF , A uc �� COUNTY OF L�,�C
The f�{$oing ins !�me_nt was acknowledged before me The forgoing instrument was acknowledged before me
this t 1 day of 1]0Ce� 20 L�by this a day of^�� —20 (� by
M d%h at� U , L& M C 6 11� U4
(Name of person acknowledging) (Name of person acknowledging*)
(Signature of Notary Public- tate Florida) (Signature of Notary Publi&/Stag of Florida
Personally Known OR Produced Identification Personally Knowny OR Produced Identification
Type of Identification Produced Type of Identification Produced
FELICIA LYNE OANOEE ELiGIA LYNE 3ANDEE
Commission No. OTARYPOSIM Commission No. NOTARY N( �
STATE OF ROMDA IaSTATE OF FLORIDA
283 . Coma#FFt5S263
Revised 07/15/20 ��9i14rZ 47 EWros 9/4/7017
REVIEWS FRONT ZONING -SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS