HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application PER1141T Il,�G
Planning and Development Services 5t. Lucie County, FL
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 LOCATION
Address: 82 Ipanema Way, 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:
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DETAILED DESCRIPTION OAF 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::INFORM TLON _.,
Additional work to be nertormed under this permit—check a app y:
1]HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
ElElectric ❑ Plumbing Sprinklers FIGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: 1504 S . Ft.of First Floor:
Cost of Construction:$ 6020 Utilities:i Sewer O Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp&Bob Gerow Name: Michael Miller
Address:82 1panema Way Company: Trade Winds Roofing, Inc
City: Fort Pierce State:FIL Address: P.O Box 13208
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.616-633-6751 Zip Code: 34979 Fax: 772-466-9725
E-Mail: Phone No. 772-466-9420
I
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 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 tiVt inspection. If you intend to obtain financing, consult with der or an attorney before
commenciruf workAr recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contract /License Holder
STATE OF FLOR= STATE OF FLO� A 1 ,
COUNTY OF �" �Q_� C C_ COUNTY OF •
The forgoing instrument was acknowledg before me The forgoing instrument was acknowledge before me
this day of ��L}�I'Y1(�,QyL 20� by this day of fv i)��n'1�'jS1 C,_20 by
(Name of person acknowledging) (Name of person acknowled ing)
�2
4(sligeture of Notary Public-St to of Florida) (Signature of Notary�Public�-Stake of Flori a
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
FELICIA LYNE GANDEE
Commission No. Y NO'S )PUBLIC Commission No. Y M-STATEOFFILDRIDA.FELIC4$Q*E GANDEE
STATE OF FLORIDA NOTARY PUBLIC
Expires 9/4/20117 Comm#FF051263
Revised 07/15/2014 Expires 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS