HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
PERMIT APPLICATION FOR: Roof
•PROP"CI 'Ep IMPROVEMENT°LOCATI.ON „
Address: 5685 Sandfly Ct, Fort Pierce, FL 34982
Legal Description: Tropical Isles (OR 2786-2163) UNIT C-28
Property Tax ID#: 3410-508-0067-000-4 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 install new asphalt shingles.
Roof Pitch-3/12
Product- Shingles-FL10674-R10
CONSTRUCTION:INF611M ATION
7—
Additional work toe e orme under this permit–check a appy:
HVAC E] Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof F-1 Roof pitch
Total Sq. Ft of Construction: 1316 S . Ft.of First Floor:
Cost of Construction: $ 5075 Utilities:In Sewer O Septic Building Height:
OWNER/LESSEE: `CONTRACTOR:
Name Tropical Isles Co-op Inc&Sandra Voss Name: Michael Miller
Address:5685 Sandfly Ct Company: Trade Winds Roofing, Inc
City: Fort Pierce State:FL Address: P.O. Box 13208
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No.772-828-5360 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 CONSTRUGTION� LIEN LAW INFORMATION-
DESIGN ER/ENGI NEER:
NFORMATIONDESIGNER/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
commencin ork or recording our Notice of Commencement. /
s
Signat re of Owner/Less,-CK/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �� r,�� COUNTY OF �_\
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this c�;7_-day of 20by this day of �-\00'\ Y 20 by
N � r'YA nw M Lv�a-0 M � � 4
(Nam of person acknowledgin ) (Name of person acknowle ing)
CI
A I AO-(-:�I L"
(Signature of Notary Public-Stat f Florida (Signature of Notary Public tate of Flo
Personally Known \/' OR Produced Identification Personally Known �OR Produced Identification
Type of Identification Produced Type of Identification Produced
&NOTARy(%ftJC
ELICIA LYNE GANDEE
Commission No. Commission No.
TATE OF FLORIDA `' IA LYNF( pEE
NOTARYPUBLjC
Expires 9/4/2017 ORIDA
Revised 07/15/2014 �m#FF051263
Expires 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS