HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: os
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Building Permit Application
Planning and Development Services j
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial I Residential
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PERMIT APPLICATION FOR: Roof
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PROPOSED IMPROVEMENT LOCATION:
Address: 5855 Travelers Way, Fort Pierce, FL 34982
Legal Description: Palm Grove S/D BLK C Lot 8 (0.12AC)(OR 3904-694)
Property Tax ID#: 3410-503-0076-000-5 Lot No.8
Site Plan Name: Block No. C
Project Name:
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Setbacks Front Back: Right Side: Left Side:
[ DETAILEDDEkRIPTIONOF-WORK:
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Reroof- Remove exisiting roof covering, Dry-in and reinstall new shingles.
Roof Pitch- dW c�' f I a-
Product- Owens Corning, Duration, FL10674-R10
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CONSTRUCTIO_N�INFORMATION:
Additional work to be performed under this permit–check all at appy:
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HVAC _Gas Tank ❑Gas Piping _Shutters I Windows/Doors
Electric ❑ Plumbing Sprinklers El Generator' El Roof Roof pitch
Total Sq. Ft of Construction: a LQ� S5 ' S . Ft.of First Floor:
Cost of Construction:$ Utilities: —Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTORS ,. F
Name Leland Grunwald Name: Michael Miller
Address:5855 Travelers Way Company: Trade!Winds Roofing', Inc
City: Fort Pierce State:FL Address: P.O. Box 13208
Zip Code: 34982 Fax: City: Fort Pierce I State:FL
Phone No.772-468-7142 Zip Code: 34979; Fax: 772-466-9725
E-Mail: Phone No. 7724,66-9420'!l;
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 equired.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW I.NFORMATION:.
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:
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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 ny restrictions ic
awhh 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 yo intend to obtain financing, consult with lender or an attorney before
commencirjR workor recordiwAour Notice of Commencement.
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ignature of Owner/Lessee/Contrk=as Agent for Owner Signature of Contractor/License Holder
STATE OF FL,ORIDX STATE OF FLORI I r '
COUNTY OF l�.i C� COUNTY OF
The oing ins ent was acknowledged before me The forgoing instrument was acknowledge before me
this day of�e�- y this�day of �_�k`-e 20 �by
M \ c-'hu-3 E �' I ( a_1L �C �ad M, QJ(i
(Name of person acknowledging) (Nam of person acknowledgin )
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(Signature of Notary Pu lic- ate of Flori a (Sign ture of Notary Public-Setatof Florida)
Personally Known_LOR Produced Identification Personally Known I� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FELI(SFNE OANDEE Commission No. FELIQV[�1'r1E OANDEE
NOTARY PUBLIC 4 NOTARY PUBLIC
aimSTATE OF FLORIDAF FLA
Comm#FF051263
Revised 07/15/2014"W- Ires 2017 ! Explres 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION, SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS