HomeMy WebLinkAboutBlocking Diagrams ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/1/17 Permit Number: 60
RECEIVED
Igo
Building Permit Applicati n
Planning and Development Services NOV 12017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 Permitting Department
Phone: (772)462-1553 Fax: (772)462-1578 Commercial FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line "VL 1-e
PROPOSED IMPROVEMENT LOCATION:
Address: (Itp bQA)oflfl'lt ' Pv��fC'P �y Q L16
Legal Description: SHERATON PLAZA UNIT 2 REPLAT LOT67 (OR 191-496)
Property Tax ID#: 1432-805-0067-000-8 Lot No.67
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers ElGenerator W1 Roof 412 Roof pitch
Total Sq. Ft of Construction: 1900 S Ft. of First Floor:
Cost of Construction:$ 7100 Utilities:Sewer Septic Building Height: 1 STORY
OW N ERAESS'EnE,: CONTRACTOR:
Name t pt'C- Name: r -5 kiichocdS
Address: l l �PX�1rl �i( Company:
City: )EI i,2f—Ge State: M Address:,gggl S US PLOY
Zip Code: 094 LP Fax: City: Pile-rCc� State: -r(_
Phone No._��_ �—�AU1 — (OL I Zip Code: 349 5 fFax: 1Ia_ 41.0—Loboo
E-Mail: Phone No. Llbq_lPl�pb n
Fill in fee simple Title Holder on next page(if different E-Mail: �2Y1(1� ��0.I lckr2Rrn0i-rQ_.Cory
from the Owner listed above) State or County License: CCC1326177
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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
comme i work or recording our tice of Commencement.
GIfAs_e
Si ure o Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1 day of NOVEMBER 20J_1 by this 1 day of NOVEMBER ,201-1 by
CHARLES RICHARDS CHARLES RICHARDS
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
n t
Ignature of Notary Public-State of Florida) (Si a of Notary Public-State of Florida)
Commission No. °� ^p0.B4o alfp�MASON o� .P;Btn SON
e MM Commission No. * MYCOM IEGG003939
* CO ISSION#GG 003939 •,
:.' cP EXPIRES:June 20,2020oQ EXPIRES:June 20,2020
0F 11.Q`� Bonded Ttw Budget Notary Services SOF Fto`t� Bonded Ttuu Budget Nolmyservim,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17