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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 / Permit Number: I� ` ou lS Building Permit Application Planning and Development Services I' 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: I ' ,OR NETLCOO ATItN Address: P11 CrCn'I Legal Description: �. l/2 �1 Property Tax ID#:,) O OQ '-700. 0i.�Or/O• ' /� ( ` Lot No. Site Plan Namei�c� %U_s �1Q� ("�T- ,n r Block No. Project Name:;! Irm l^le rile E CYV�w1 I' Setbacks Front Back: Right Side: Left Side: DETAIL, D77 DESCRIPTION,OF WC►RK.� g � I. CC1I�STRU CTItN INFORMATION l. rtional wor to a per orme un er t is permit-c ec a t at app y: _Mechanical _Gas Tank _Gas Piping _Shutters i Windows/Doors I Electric _Plumbing _Sprinklers _Generator _L/Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: I, Cost of Construction:$ of i�S� Utilities: —Sewer Septic Building Height: DV1JNER/LESS. E CONTRACZntPTOtfNN, s, Name enol i L•eY �AnC 1'C,II'-L Name: I i Address: a3U� Q)r Company: City: State: L 'Address: u Zip Code: 3�1�iy Fax: City: State: Phone No.-_?-)a^ -3Z 5 i3 Zip Code: Fax: E-Mail: Phone No I Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License JEvalue of construction is 2500 or more,a RECORDED Notice of Commencement is required. St1PPLENINTAL CONSTFtUCTlON LIEN I.AW INF�Rf1lIATI�N . . - 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 noh-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 commencing work or recording ur Notice of Commencement. Sig re of O ner/Less Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SQA COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thQg day of V bJ 20 n by this day of 20_ by (Name of perso acknowledging) (Name of person acknowledging) gnature of Notary Public- tate of Florida) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification �` Personally Known OR Produced Identification Type of Identification ter--^ ""' Type of Identification Produced �l—'`ii LASHr�HNA INGRAM (�, �� Produced ;20�:? br Lary Public-State of Florida Commission No. ', My C � xPires Dec 20,2018 : Commission No. Seal Ms s`�1ion FF 177249 Bonded through National Not Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. CREEK TAMKO BUILDING PRODCUTS,INC. TAMKO Undedayments TECHNICAL SERVICES, LLC LIMITATIONS 1) This evaluation report is not for use in the HVHZ, 2) fire Classification is not within the scope of this evaluation. 3) Wind uplift resistance in not within scope of this evaluation. 4) Installation of the evaluated.product shall comply with this report,the FBC,and the manufacturer's published application instructions. Where discrepancies exist between these sources, the more restrictive and FBC compliant installation detail shall prevail. 5) Minimum application temperature shall be 50°f unless otherwise noted. Contact the manufacturer when installing at temperatures below the minimum application temperature. 6) Deck substrates shall be clean, dry, and free from any irregularities and debris. AIJ fasteners in the deck shall be checked for protrusion and corrected prior to underlayment application. 7) The roof deck shall be constructed of closely ,fitted sheathing for new or existing construction. Roof deck shall be installed in accordance with FBC requirements. 8) Unless otherwise stated,the minimum roof slope shall be in accordance with FBC requirements. 9) All undedayments shall be installed.with the roll length parallel to the pave, starting at the pave, and lapped in successive courses installed up the deck in a manner that effectively sheds water from the deck. End laps shall be staggered between courses in accordance with the manufacturer's application instructions. 10) The underlayment may be used as described in other current FBC product approval documents. 11) The underlayment shall not be installed over existing roof coverings. 12) Contact the manufacturer regarding specific exposure limits for each underlayment. 13) All products listed in this report shall be manufactured under a quality assurance program in compliance with Rule 61 G20-3. COMPLIANCE STATEMENT The products evaluated herein by Zachary R. Priest, P.E. have demonstrated compliance with the Florida Building Code, 5th Edition(2014)as evidenced in the referenced documents submitted by the named manufacturer. 11 �G�PRY�R��.9/,'. 2016.08. • IGEN S Fs 2 No 74021 oo ��-- 2 09:35:39 _04'00' �0:. STATE OF :�40 T•'•'O P••' •�� Zachary R. Priest,P.E. ',��sNAFlorida s OL ��,,` Organization No.ANE9641Io021 , CERTIFICATION OF INDEPENDENCE CREEK Technical Services,LLC does not have,nor will it acquire,a financial interest in any company manufacturing or distributing products under this evaluation. CREEK Technical Services,LLC is not owned,operated,or controlled by any company manufacturing or distributing products under this evaluation. Zachary R.Priest,P.E.does not have,nor will acquire,a financial interest in any company manufacturing or distributing products under this evaluation. Zachary R.Priest,P.E.does not have,nor will acquire,a financial interest in any other entity involved in the approval process of the product. END OF REPORT TBP14001.3 FL12328-R7 Page 4 of 4 This evaluation report is provided for State of Florida product approval under Rule 61 G20-3. The manufacturer shall notify CREEK Technical Services;LLC of any product changes or quality assurance changes throughout the duration for which this report is valid. This evaluation report does not express nor imply warranty, installation, recommended use,or other product attributes that are not specifically addressed herein.