HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�
Date: Permit Number: 1Q ' �o Uq
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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
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION ' .
Address: 115 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:
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Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: '
Reroof- Remove existing roof covering, Dry-in with self adhering underlayment, and install new asphalt
shingles.
Roof Pitch- 3/12
Product Approval- Shin les-FL10674-R10 / Underla ment- L (_Q —
ICONSTRUCTION'l N FORMATION: j
Additional work toe e orme under this permit—check a appy: .
HVAC 11 Gas Tank []Gas Piping Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1288 S . Ft.of First Floor:
Cost of Construction:$ 6690 Utilities:Cn Sewer EISeptic Building Height:
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OWNER/LESSEE: CONTRACTOR`.
Name Wynne Building Corp&Lillian Donnell Name: Michael Miller
Address:115 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.203-906-3294 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:
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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'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 accessoryuses 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 w'th lender,or an attorney before
commencigg wQfk or recording our Notice of Commencement.
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Signature of Owner/Lessee/Co ractor as Agent for Owner Signature of Contract /License Holder
STATE OF FLO STATE OF FLORID
COUNTY OF k_—
UAC COUNTY OF LA C- ACt
The fo�oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day o Y\ Q 20 by this - day of�A V1 l.La 20 ` ) by
tooh& UJE
(Name of person acknowled ing) (Name of person acknowledging)
(Signature of otary Public-State ot Florida) (Signature of Notary Public- tate4tf Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. y FL&MIALYNEGANDEE Commission No. r PECK
PMNOTARPUBLIC
NOTARY PUBLIC STATE OF FLORIDA
Revised 07/15/2014CORM FF051263 Expires� res 9/4/2017
Expires 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS