HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / /-�,
Date: r" ��p Permit Number: / &0
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Building Permit Application
RECEIVE®
Planning and Development Services APR 6 7
Q76
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 IIVIP,R0V MENT LOCATION
Address: 1708 Old FFA Rd, Fort Pierce, FL 34945
Legal Description: 033539 N 1&9.59 FT OF 317.33FT OF 112 OF 112 OF FOL DESCPROP FROM NW COR OF SEC RUN S02DEG02 MIN 43 SEC E 1519.10 FT,TH S 69 DEG 43 MIN F7 SEC E40 FT FOR POB,TH CONTS 02
DEG 02 MIN 43 SEC E127826 FT M4-TH N 89 DEG 57 MIN 03 SEC E 5F5.59 FT MIL,TH N 02 DEG 02 MIN43 SEC W//TO AND 015.251717 ELY OF W SEC LI 1276-87 FT MIL,TR N 89 DEG 54 MIN 04 SEC W575.64 FTMIL TO P08-BEING PART OF NW 7/4(290 AC)(OR 599-2159)
Property Tax ID#: 2303-232-0005-010-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED'DESC, IPTI'ON OF WORK
Reroof-Remove existing roof covering,Dry in with self adhering undedayment and reinstall new asphalt shingles and torch down on front low sloped roof.
Roof Pitch-Multiple 5/12&8/12
Product shingle-Owens Coming FL#FL10674-R10
Product underlayment-Resisto FL#FL2569-R10may2, -
Product Low slope-Johns Manville FL#FL1046-R7 L� � 1 ° Q 'WI 1
Flat roof on rear of home not included in the reroof. n o 4- vh i✓ re(K,Y'
[CO'NSTRuCTION`INFORMATION 1Y1 h` y�o
Additional work to e nertormed under this permit—check a appy:
HVAC 0 Gas Tank ❑Gas Piping L1 Shutters Q Windows/Doors
11 Electric 0 Plumbing []Sprinklers ElGenerator F] Roof
Total Sq. Ft of Construction: 2128 S . Ft.of First Floor:
Cost of Construction:$ 10,830 Utilities:cn Sewer Septic Building Height:
OWNER%LESSEE : . ; CONTRACTOR:
,. .
Name Jared Petersen&Carol Petersen Name: Michael Miller
Address:1708 Old FFA Rd 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.772-461-2391 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.
SUPPLEMENTAL C0NSTRUCTIO'N{LIEN LAW INFORMATION:
t
t
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencingyjork or recording our Notice of Commencement.
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_Signature 6f Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA I ' ` STATE OF FLORIDA
COUNTY OF �� ` G� COUNTY OF S� ' U ICA
Theoing instrument was cknowledged before me The forgoing instr ment was acknowledged before me
this I day of 1n� 20 ll�by this day of 20 by
�01\a Q 1�1�.� M � e_��(DJQ1 AA yll_��
(Name of person acknowledging) ( ame of person acknowledging)
(Signature of NotaryyPublic�Stat St
f Florida) (Signature of Notary Public- ate Florida)
Personally Known '-� OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FELICWthlINEOANDEE Commission No. FEU(i iNNEGMDEE
J&%NOTARYPUSUC � NOTARY PUBLJC
STATE OF FLORIDA
Revised 07/15/2014 ' cam*FFo51283 "WIFCarrn�kFF051263
E)Orea 9/4/2017 Wres 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS