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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
4maleDate: 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 Residential
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PERMIT APPLICATION FOR:
Roof
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Oil
PRQPOSED IMPROVEMENT L`QCATION
Address: 2 San Roberto, Fort Pierce, FL 34951
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Legal Description: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E
Property Tax ID#: 1301-111-00001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETA ILED,.DESCRIPTION OF WORK W ; y
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Reroof- Remove existing roof covering, Dry-in and install new shingles.
Roof Pitch-4/12
Product- Owens Corning, Duration, FL10674-R10
-COIVSTRl1CTION INFORMATION
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Additional work to be nertormed under this permit—,heck all appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator ]Rgof Roof pitch
Total Sq. Ft of Construction: 1830 S7915 . Ft. of First Floor:
Cost of Construction: $ Utilities: _Sewer�Septic Building Height:
OWNER/LESSEE CONTRACTOR � �
Name Judy Strouth Name: Michael Miller'
Address:2 San Roberto Company: Trade Winds Roofing,'Inc
City: Fort Pierce State:FL Address: P.O Box,113208
Zip Code: 34951 Fax: City: Fort Pierce !t State:FL
Phone No.703-851-9995 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INPORM'ATION;.
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 lender or an attorney before
commenci w rk or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA 1 �� COUNTY OF FLORID i?
COUNTY OF l-A I 'f- LJ1A
The.f oin in rument was ac Howled a before me The for oing in trument was acknowledged before me
this day of �� 20 by this � day of) �M �'7�Q.gZ 20by
(Name of person acknowledging (Name of person ackinowle ging)
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(Signature of NotaryPublic-S too Florida (Signature of NotaryyPublic- to of Flo'n a)
Personally Known V/OR Produced Identification Personally Known '\/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ( ACIALiJYEG NDBB Commission No. FELId"PalYNEGANDEE
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STATE OF FLORIDA NOTARY PUBLIC
STATE OF FLORIDA
Revised 07/15/2014 " Expires 9/4/2017 ). Expires
Cn"� ��9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION,, SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS