HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 `6 Permit Number: %
iib
: :, RECEP"71 JAN 15 2016
ILSIAISIRN i4
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: 1856 Bar Harbor Dr, Fort Pierce, FL 34951
Legal Description: 3 35 39 NW 1/4-LESS AVON MANOR-UNITS 1 AND 2 AND LESS W 615.5FT LYG S OF AVON MANOR-UNIT 1
AND LESS CANAL AND RD RS/W AND LESS 1-95AS IN OR 237-1372-(99.02 AC)(OR 630-131)
Property Tax ID#: 2303-211-0025-000/5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTI,ON.OF,WORK ' ':.r" "
Reroof-Remove existing roof covering,dry-in and install asphalt shingles.
Roof Pitch: gN1aI I a
Roof Sq Ft: 1069 A
Product Approval:Owens Coming, Oakridge Shingles, FL10674-R10
CONSTRUCTION,'<.
INFORMATION:
Additionalworkto e performed under this permit–c ec a appy:
EDHVAC E] Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers 11 Generator ❑ Roof
Total Sq. Ft of Construction: 1069 S nFt of First Floor:
Cost of Construction:$ 5,000 Utilities. —Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name John House Name: Michael Miller
Address:1856 Bar Harbor Dr 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.859-629-5199 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.
SUPPLEMENTALCONSTRUCTIQN LIEN'LAW
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
commencin ork or cecording your Notice of Commencement.
J(/ --- S
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA. 1 STATE OF FLORIDAc
COUNTY OF �"• � ` e COUNTY OF
LA
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The f`o�r oing instrument was acknowledged before me The 7fing instrument was acknowledged before me
this r��day of C'Y 20 W-by thisday of )Aht l01,V' 20 JU by
Mt, (t:hraQQ . 1 LrVAG �� 1(1(1 of person acknowledging) (Name of person acknowledging)
(Signature of Notary
s Public tate of Florida) (Signature of Notary Publii -Sta of Flori a
Personally Known v OR Produced Identification Personally Known ,__'OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. NO1 OEtMN11 Commission No. N�A___} DEE
0=1 YPU8M ARYL
STATE OF STATE OF FLORIDA
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