HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2
Date: Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 �V/
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
P, QOOSED�IMPROVEMENT LOCATION f
Address: 8208 E Bitterbush Ln, Port St Lucie, FL 34952
Legal Description: SAVANNA CLUB-PLAT ONE-BLK 2 LOT25(OR 881-1781: 1192-1826)
Property Tax ID#: 3425-701-0069-000-7 Lot No.25
Site Plan Name: Block No. 2
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
l /
Reroof-Remove existing roof covering, Dry.-in and reinstall asphalt shingles.
Roof slope-2 1/2:12 Sq Ft-1150
Product Approval:Owens Coming, Oakridge Shingles, FL10674-Rl0
CONSTRUCTION INFORMATION ;r
al work to e performed under this permit-check a appy:
HVAC 13 Gas Tank ❑Gas Piping OGenerator
Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Roof
Total Sq. Ft of Construction: 1150 S . Ft.of First Floor:
Cost of Construction:$ 4760 Utilities:i Sewer 0 Septic Building Height:
OWNERAESSEf CONTRACTOR:
Name Frank E Smith Name: Michael Miller
Address:635 Blacklick St Company: Trade Winds Roofing, Inc
City: Groveport State:OH Address: P.O. Box 13208
Zip Code: 43125 Fax: City: Fort Pierce State:FL
Phone No.614-746-1738 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.
f
S,UP;:PLEMENTALCONSTRUCTION LIEN LAIN 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 'rst in ion. If you intend to obtain financing, consult with lender or an attorney before
commen w or
' recordingour Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE'OF FLSTATE OF FLORIDA
COUNTY OF �(�' jf COUNTY OF R .
Ther oing ins rument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 �iy this-91day of 111 1` 0 1�0 0A 6
9_4 N�\Q Mp'� N Altue—
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State o lorida) (Signa ure of Notary Public-State f Florida)
Personally Known V OR Produced Identification Personally Known k—"/OR Produced Identification
Type of Identification Produced Type of Identification Produced
FELIGA LYNE GANDER
Commission No. IciA( R Commission No. 140TAR`( 6*M
NOTARY PEMM STATE OF FLOWDA
oomm@FF051283
'ffF FLORIDA 10001111111,31.1 FP051263 Expires 81412017
Revised 07/15/201 fires 9/412D17
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
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