HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a.\aA 16 Permit Number: \6 a_Q1_d 9_S0
, — REM%"7D FEB 2 4 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 -- 'S
INA
PROPOSED IMPROVEMENT LOCATION
Address: 3091 McNeil Rd, Fort Pierce, FL 34981
Legal Description: 30 35 40 S 165 FT OF S 1/2 OF NE1/4 OF NE 1/4 OF NW 1/4-LESS E 33 FT FOR RD R/W-(33)(2.38 AC)(OR 254-2256)
Property Tax ID#: 2430-211-0003-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Reroof- Remove existing roof covering, Dry-in with self adhering undedayment and reinstall new asphalt shingles.
Roof Pitch-4/12
Product-Owens Corning FL#FL10674-R10
Product-Self Adhering Underlayment Ir
CONSTRUCTION INFORMATION
Additional work toe nprtormed under this permit—c ec a appy:
HVAC0 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3290 S . Ft.of First Floor:
Cost of Construction:$ 12,890 UtiIities:cn Sewer Septic Building Height:
OWNER/LESSEE. 'CONTRACTOR":
Name Vincent Molina 8 Bonnie Molina Name: Michael Miller
Address:3091 McNeil Rd Company: Trade Winds Roofing, Inc
City: Fort Pierce State:FIL Address: P•O Box 13208
Zip Code: 34981 Fax: City: Fort Pierce State:FL
Phone No.772-461-8818 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.
x t •s
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 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 to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first' spe ion. If you intend to obtain financing, consult with rider or an attorney before
commenc' o k o/decording your Notice of Commencement.
s
_Signature o Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA `` STATE OF FLORIDA
COUNTY OF �t ,�� COUNTY OF YC e
The forgoing instr ent was acknowledged before me The for oing instr e�nt was acknowledged before me
this,day of 20 l by this�day of +f-)Q V UL r 20 by
)m ( V) kc�Y)C( t I N
(Name of person acknowledging) (Name of person acknowledgi g)
(Signature of Notary Publi -S of Florida (Signature of Notary Public- t f Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
FEUGA LYNE GANDEE FEUCIA LYNF GANDEE
Commission No. TARVIft&C Commission No. AL& NoTARj*AN c
.*WSTATE OF FLORIDA IWAM STATE OF FLORIDA
— Comm#RM11203 AlOw
Revised 07/15/2014 94=7 E�Ires 04=7
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS