HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I (' �p ((�(o Permit Number:
R.E L CJ Liu
•
Building Permit Application NOV 9 6 ,2o%
Planning and Development Services PEi'-IMITTING
Building and Code Regulation Division St. Lucie i,,ou , FL
2300 Virginia Avenue,Fort Pierce F134982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
?RQPOSED IMPROVEMENT LOCATION: T-
Address: 133 Calle de Lagos, Fort Pierce, FL 34951
Legal Description: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION Of WORK
Reroof- Remove existing roof covering, Dry-in, and reinstall new duration shingles.
Roof Pitch 3/12
Product- Owens Corning, Duration Shingles, FL10674-R10
CONSTRUCTION;;IN:FORMATION _
Additional work to be performed un er t is permit—c ec" a appy:
E1HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1288 S . Ft.of First Floor:
Cost of Construction:$ 5295 Utilities:n Sewer 0Septic Building Height:
OWNER/LESSEE. "CONTRACTOR:
Name Wynne Building Corp&John Bradley Name: Michael Miller
Address:133 Calle de Lagos Company: Trade Winds Roofing, Inc
City: Fort Pierce State:FL Address: P.O Box 13208
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.616-822-9009 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,CONSTRUCTION LIEN LAW INFORMATION:
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 lend r or an attorney before
commencing(wopWor recording o tice of Commencement.
—
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/IL' ense Holder
STATE OF FLO D II STATE OF FLORIRA
COUNTY OF COUNTY OF ~::M
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this day of OU,_2� 20 abby this I I-Q day of ��hVb-Z-L-20 �by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pub-SVaie of a) (Signature of Notary,Public-State o orida)
Personally Known�/ Ok�R Produced Identification Personally Known - OR Produced Identification
Type of Identification Produced Type of Identification Produced
FELICIA LYNE GANDEE
Commission No. SAX-WwYPUBLIC Commission No. FELICItAnIf GANDEE
STATE OF FLORIDA NOTARY PUBLIC
FF051283 STATE OF FLORIDA
Expires Revised 07/15/2014 9/4/2017 �9 X00117
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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