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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `'1 t4 I Permit Number: RECEIVED APR 18 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 IMPROVEMENT,LOCATIQN• r Address: 3003 Avenue T, Fort Pierce, FL 34947 Legal Description: SUNRISE PARK NO 1 BLK 1 LOT 8(0.16 AC)(OR 781-789) Property Tax ID#: 2405-501-0008-000-3 Lot No.8 Site Plan Name: Block No. 1 Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION IF WORK Reroof- Removeexisting roof covering, Dry-in and install new asphalt shingles. Roof Pitch: 14 I1 ©� Product: Owens Corning FL# FL10674-R10 CONSTRUCTION INFORMATION .., Additional work to be nertormed under this permit-check all tha appy: HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors ❑Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof Total Sq. Ft of Construction: 1644 S . Ft.of First Floor: Cost of Construction:$ 6386 Utilities. Sewer F]Septic Building Height: OWNER%LESSEE CONTRACTOR: Name Lynette J Steele Name: Michael Miller Address:316 Serena St Company: Trade Winds Roofing, Inc City: Upper Marlboro State:MD Address: P•O- Box 13208 Zip Code: 20774 Fax: City: Fort Pierce State:FL Phone No.301-249-3089 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 in of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION y h;. 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 commencingkork orpecording your Notice of Commencement. s _Signature of Owner/Lessee/Agent Signature of Contractor/Licens r STATE OF FLORI STATE OF—V _ �\C<� COUNTY OF FLORIDA COUNTY OF The fM?Ing instr ent was acknowledge before me The fo oing instrument was acknowledged before me this day of 1r^ 20 1�by this�day of 'r� \ 20 by (Name of person acknowledging) (Name of person acknowledging) Q G r (Signature of Notary Public-Sta f Flori a (Signature of Notary Public-State Florida � ) Personally Known IR Produced Identification Personally Known — OR Produced Identification Type of Identification Produced Type of Identification Produced NOY Commission No. FELfNECiWM Commission No. AINX41LtYNE GANDEE NOTARY PUBLIC STATE OF FLORIDA STATE OF FLORIDA Comm#FF051253 • Revised 07/15/2014 a Expires W4M7 EVres 9/4/2017 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS