HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: RECEI`."_D JAN 15 2016 Permit Number:
_ • RECEIVED AN 15 2016
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 IMPROVEME'NTLOCATION
Address: 181 Calle de Lagos, Fort Pierce, FL 34951
Legal Description: Sect 6 TWP 345 Range 39E
Property Tax ID#: 1301-113-0001-000/5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETA
ILrED DESCRIPTION O'F-WORK ,
Reroof-Remove existing roof covering,dry-in with self adhering underlayment and install asphalt shingles.
Roof Pitch:2 1/2/12
Roof Sq Ft: 1500
Product Approval:Owens Coming, Oakridge Shingles, FL10674-R10
Product Approval:Soprema, Inc, Resisto(self adhering underlayment),FL2569-R10
CONSTRUCTION INFORMATION.
Additional work to be performed under this permit—c ec a appy:
HVAC - EiGasTank E]Gas Piping In,_Shutters Q Windows/Doors Ll
11 Electric 0 Plumbing Sprinklers F]Generator Roof
Total Sq. Ft of Construction: 1500 S . Ft.of First Floor:
Cost of Construction:$ 7295 Utilities:cn Sewer E]Septic Building Height:
OWNER/LESSEE :° ; CONTRACTOR:,:
Name Donald Church Name: Michael Miller
Address:181 Calle de Lagos Company: Trade Winds Roofing, Inc
City: Fort Pierce State:FIL Address: P.O Box 13208
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.401-782-9599 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.
SUPPLEMENTALCONSTRUCTION"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 i spection. If you intend to obtain financing, consult with lender or an attorney before
commencinA w k or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORI STATE OF FLORID
COUNTY OF_7 - Luo �� COUNTY OF Luc I Q
The for oing ins rument was acknowledge before me The forgoing instrument was acknowledged before me
this c day of Ili Y 20 aby this day of J Y LP 20 a by
M kc_h('a 4 I M l IM rlkluf M I ( U.►2
(Name of person acknowledging) (Name of person acknowledging)
14 4
(Signature of Notary Public- tate Of Florida) (Signature of Notary Public-Statb of Florida
\ /
Personally Known V OR Produced Identification Personally Known V/011 Produced Identification
Type of Identification Produced Type of Identification Produced
FEUCW LYN FEUCIA LYIdE GANDEE
Commission No. A I NOTAR MRM Commission No. NOT( N41J8LIC
STATE OF FLORIDA STATE OF FLORIDA
C="FF0512631263
Expires 9/4/2017 i-VExpires 91412x17
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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INITIALS