HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application .JAN 2 5 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof - S • n c S 0
PROPOSED IMPROVEMENT LOCATION:
Address: 208 River Walk Fort Pierce
Legal Description.. RIVERWALK AT SANDS UNIT 15(OR 1404-1770)
Property Tax ID#: 1425-566-0015-000-5 Lot No.
Site Plan Name: (� Block No.
Project Name: VQ r'UJo��k�C�� OC
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Remove existing roof material, renail deck to code. Install self adhred underlayment and new shingles
CON=al
CTION INFORMATION:
d itar to b e D e formed un ed�is permit—check a appy:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof y Roof pitch
Total Sq. Ft of Construction: a 1?3 S00 . Ft.of First Floor:
I
Cost of Construction: $ Ja 60-D Utilities: _Sewer 0 Septic Building Height: _
TOWNER/LESSEE: CONTRACTOR:
Name Herbert G Emsweller Name: Douglas E Roe
Address:208 River WALK Company: Code Red Roofers Inc
City: Ft Pierce State: FL Address: 3341 SE Slater St
Zip Code: 34949 Fax: City: Stuart State:FL
Phone No.772-460-6256 Zip Code: 34997 Fax: 772-287-7763
E-Mail: Phone No. 772-287-2829
Fill in fee simple Title Holder on next page l; if different E-Mail: becky@coderedroofers.com
from the Owner listed above) State or County License: CCC1326574
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
l
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
commencing work or recording our Notice of Commencement.
_V:7� -A
IT AAJ A� �07 I)IJI&I� 4 /�4 -I, -)' —
Signature of ner/Lessee/Contfor as Age t for Owner Signa u of on r ct r/LI a Holder
�lve►wI1 H64
STATE OF FLORIDA
STATE OF FLORI
COUNTY OF 7kf_ COUNTY OF ��
The for oing instrum nt was acknowledged before me The forgoing instrument was acknowledged b fore me
this�day of ,20�by this day of 20 y
me of person making statement Na of perso making statement
n\
Personally Known OR Produced IdentificatioPersonally Known �C OR Produced Identification
Type of Iden ifi at' Type of Identification
Produced •� Produce
(Signat a of Notary Public-State)ff l Aa ) (Signatur of Notary Public-State of Olor
li ' a
Commission No. "f ��3 Seal) Commission No. I)
REBECCA RESTIFO '�� REBECCA RESTIF
_ e0M1863 COMMISMRY
SION#GG91863
N• '' I '(PIRES:Ma 17,2021 ' oPP C:XP{
Es
REVIEWS ',"" ""- F SUPERVISOR PLANS V TLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE- - - — -
RECEIVED -
DATE
COMPLETED
Rev.8/2/17