HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date:
Permit Number:
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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 I Residential
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PERMIT APPLICATION FOR: Roof
PRO`PO.Sf D l I1/IPROVEM`f NT L"OCATION
Address: 118 Calle de Lagos, Fort Pierce, FL 34951
Legal Description: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E
PropertyTax ID#: 1301-111-0001-000-5 I Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side'
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DETAILED.DESCRIPTION O.F WORK I '
Reroof- Remove existing roof covering, dry in with self adhering underlaymentland install new asphalt
shingles.
Roof Pitch- 2 1/2 112
Product- Owens Corning FL10674-R10 & Soprema Resisto FL2569-R10
CONSTRUCTION INFORMATION
a
Acid
itiona I work to be nerformed un er t is permit—c ec a appy: �J
HVAC Gas Tank F]Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator ❑ Roof
Total Sq. Ft of Construction: 1513 S . Ft.of First Floor:
Cost of Construction:$ 5810 Utilities: Sewer Septic Building Height:
OWNE:RAESSEE CONTRACT Ts �n
Name Wynne Building Corp&Loretta Doerr Name: Michael Miller
Address: 12804 SW 122nd Ave Company: Trade Winds Roofing, Inc
City: Miami State:FL Address: P.O. Boz 13208',l
Zip Code: 33186 Fax: City: Fort Pierce ! State:FL
Phone No.772-460-1012 Zip Code: 34979 i Fax: 772-466-9725
E-Mail: Phone No. 772-466-9420,,l
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW MATIO
INFORN;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: i. I State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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
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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 inspe ion. If you intend to obtain financing, consult with lender oar an attorney before
commencina Work r ecording your Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORID► ` 1 STATE OF FLORIW-
COUNTY OF �Y v�C`�Q COUNTY OF
The,, rgcling instrument was acknowledg d before me The forgoing instrument was acknowledged before me
thisrday of A-(p r 20by thi��day of 20by
(Na a of person acknowledging) (Name of person acknowledging)
4 P" '71t O'J�
(Signature of Notary-Pu lic-S to of Florida (Signature of Notary Public-St of Florida
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Personally Known �OR Produced Identification Personally Known V ORProduced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FLNTMPYNE GANDEE Commission No. Ito r O
PUBILIC
STATE OF F ORIDA j STATE OF Fl.ORIDA
Revised 07/15/2014 E41rw 9/4/2017 Expires 9/4/2017
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS