HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FPR APPLICATION TO BE ACCEPTED
Date: co Permit Number: Uo - OV3
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- OCT 2 8
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Building Permit Application
Planning and Development Services PEP„MITTINC
Building and Code Regulation Division 5t. Lucie County, F
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
,;PROPOSED'IMPROVEMENT LOCATION
Address: 3048 Eagles Nest Way, Port St Lucie, FL 34952
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2(PB 43-21)BLK 65 LOT 13(OR 2183-902:2849-1982, 1985)
Property Tax ID#: 3424-702-0222-000-8 Lot No.13
Site Plan Name: Block No. 65
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK -
Reroof- Remove exi ting roof covering, Install new underlayment and install new asphalt shingles.
Roof Pitch-`�;L/a I 'D--
Product Approval-Shingles-Owens Corning, Duration, FL10674-R10
Underla ment- So rema Inc Resisto FL2569-R10
CONSTRUCTION.IN FORMATION
.itionaI work'
or toe performed under this permit—check a appy:
HVAC 11 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 3067 S�Ftj of First Floor:
Cost of Construction:$ 11,190 Utilities: nSewer 0Septic Building Height:
OWNER/LESSEE CONTRACTOR:
Name Ronald Russell&Nancy Russell Name: Michael Miller
Address:3048 Eagles Nest Way Company: Trade Winds Roofing, Inc
City: Port St Lucie State:FL Address: P.O. Box 13208
Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.772-343-0228 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.
SUPPLEMENTALCONSTRUCTION LI.EN;LAW INFOWATIONi.
MORTGAGE COMPANY: _Not Applicable
DESIGNER ENGINEER: _Not Applicable
ocale
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
commencing wo or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor older
STATE OF FLORID4 STATE OF FLORID
COUNTY OF � L el, COUNTY OF � ��C_ �-C_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledge before me
this day of��C,�D s'o.2 20�,0by this�day of �(3 ,20 1� by
L M t I Ms�ho Q L M t l ��
(Name of person acknowledging) (Name of person acknowledging)
O�dCMCJ
(Signature of Notary ublic-tfate of F b) (Signature of Notary Public-Stat o Florida—)—
Personally
lorida)Personally Known \-"*'� OR Produced Identification Personally Known 1_1Z OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. r FELICY§jfE GANDEE Commission No. LYNE Gq(ypEE
NOTARY PUBLIC v. NOTARY PUBLIC
91 STATE OF FLORIDA STATE
Comm#FF051263 C=M#FF051263
Revised 07/15/2014. Expires 9/4/2017 Expires 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
COMPLETE
INITIALS