HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
A11111111111111 11111111111111111h
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 Residiential
PERMIT APPLICATION FOR: Roof j
PROPOSE'.D IMPROVEMENT LOCATION
Address: 33 La Puerta del Norte, Fort-Pierce, FL 34951
Legal Description: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E
PropertyTax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
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Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION Of WQRK
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Reroof- Remove existing roof covering, dry in with self adhering underlayment and install new 5V
Crimped Metal Roof.
Roof Pitch- 2 1/2/ 12
Product- (Underlayment) Soprema FL2569-R10 & (5V Crimp) Gulf Coast FL11651.13 R2
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CONSTRUCTION INFORMATION - "
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Acid tional work to be performed under this permit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters I Windows/Doors
Electric ❑ Plumbing Sprinklers 1:1 Generator ❑ Roof
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Total Sq. Ft of Construction: 1682 S . Ft.of First Floor.
Cost of Construction:$ 8125 Utilities:Sewer[ISeptic Building Height:
OW'NE'R/LESSEE CONTRACTOR
Name Wynne Building Corp&Daniel Burman Name: Michael Miller
Address: 12804 SW 122nd Ave Company: Trade Winds Roofing, Inc
City: Miami State:FL Address: P.O. Box13208 ,I
Zip Code: 33186 Fax: City: Fort Pierce State:FL
Phone No.772-332-2081 Zip Code: 34979 I 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
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUP,PLEMENTA CONSTRUCTION LIEN LAW INFAORMATION'
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name rC.�sux'e G;X`k Ek-"\6, k!� Name:
Address: `�tbS �b Se C V- Address: I
City '( V e State: City: 1 State:
Zip:''3L11i5-,-1- Phone: Zip: Phone:
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
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 insp9pon. If you intend to obtain financing, consult with lender01
"r an attorney before
commencingAvork,o,rrecording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORI% STATE OF FLORIP-A,
COUNTY OF COUNTY OF
The r oing instrui n was cknowledgd before me The forgoing instrument was acknowledged before me
thisday of 201-4by this day of 20 by
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(Name of person acknowledging) (Name of person acknowledgi )
(Signature of Notary Public-So Florida) (Signature of Notary Public-Stat f Florida)
Personally Known; "-P-roduced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
IA LINE QANDEE CW LYNE C3IWDEE
Commission No. .� (�I Commission No. �ypUg�
NOTARY PUBLIC _40STAF FLORIDA
STATE OF FLORIDA
. Gwm* 1263
Comm#FF051283
Revised 07/15/2014 Expires 9/4/2017 t:�
9/412017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW ;,� REVIEW REVIEW
DATE
COMPLETE
INITIALS
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