HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: Permit Number:
•
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 I'MP'' EMENT.L"OCATIO`N
Address: 1712 Walden Ponds Dr, Fort Pierce, FL 34945
Legal Description: Sect 03 Town 35S Range 39E
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.DESCRIPTION b`;F WORK s"
Reroof- Remove existing roofing, Dry-in and reinstall new asphalt shingles.
Roof Pitch- 2 1/2 / 12
Product: Owens Corning FL# FL10674-R10
CONSTRUCTION INFORMATION
itional work to be erformed under this permit-c ec a appy:
❑HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
Electric Plumbing OSprinklers F]Generator F] Roof
Total Sq. Ft of Construction: 1316 S . Ft.of First Floor:
Cost of Construction:$ 5950 Utilities. —Sewer E]Septic Building Height:
OWNER/LESSEE ..y CONTRACTOR. `
Name Susan Loveland&Golden Ponds(Pershing Mobile Home Sales Inc) Name: Michael Miller
Address:1712 Walden Ponds Dr Company: Trade Winds Roofing, Inc
City: Fort Pierce State:FL Address: P.O. Box 13208
Zip Code: 34945 Fax: City: Fort Pierce State:FL
Phone No.914-582-8149 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.
hSPUPPLEMENTAI 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 insp ction. If you intend to obtain financing, consult wit lender or an attorney before
commencing w4rk&recording//our Notice of Commencement.
::�4/ s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA1 STATE OF FLORIDA
COUNTY OF S COUNTY OF
The forgoing instr nt was acknowledge_c(.before me The forgoing ins t 4ment was acknowledged before me
this 3�day of 20 lot by this day of�bYuOU'2( .20 UP_by
Avi M I t'k M I
(Name of person ac nowledging) (Name of person acknowledging)
IA' �J QA A-t-M k
(Signature of Notary ZZOR
ate f Florida) (Signature of Notary�ZR
State f lorida)
Personally Known Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification Produced
FELICIA LYNE GMDEE FEUCIA LYNE GANDEE
Commission No.--JwkI�OTq C Commission No. NOT/&4ANX
STATE OF FLORIDA STATE OF FLORIDA
Revised 07/15/2014 9/4017 8/48017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS