HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: al`J $ Permit Number: ' "c) `J%'3
ERECEIVEDAN 2 5 2018
Building Permit ApplicatioPlanning and Development Services e County, Permlttln-
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:
i
Address: 223 River Walk Fort Pierce
Legal Description: RIVERWALK AT SANDS UNIT 12(OR 3581-2901)
Property Tax ID#: 1425-566-0012-000-4 Lot No.
Site Plan Name: Block No.
Project Name: ZIAZPE
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
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit_-check all that appy:
HVAC Gas Tank DGas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing ❑Sprinklers ❑Generator .Roof Roof pitch
Total Sq. Ft of Construction: EWa S . Ft.of First Floor:
od
Cost of Construction:$ �d �a� Utilities: _Sewer[]Septic Building Height: _
OWNERAESSEE: CONTRACTOR:
Name Tracy Langiotti Name: Douglas E Roe
Address:203 Middlesex Ave Company: Code Red Roofers Inc
City: Voorhees State: NJ Address: 3341 SE Slater St
Zip Code: 08043 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( if different E-Mail: becky@coderedroofers.com
from the Owner listed above) State or County License: CCC1326574
=o 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
commencing work or recordingour Notice of Commencement.
/ ----,- 11
1 h
Signature f Owner/Lessee/Contractor as Agent for Owner Signature of Contract /License older
STATE OF FLORID STATE OF FLORI ��► �;
COUNTY OF / G��`FIYI COUNTY OF �✓1
The f ing instrumeRt was acknowledgfore me The f oing instru nt was acknowledg d before me
this day of 20 y this day of 20y
A aiq a r-4L)0&16 '--kL
L Z4
me of person making statement Nagle of erson making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Ideti tion Type of Identification
Produced �caProduced
(Signature of Notary Public-State f o a) (Signat a of Notary Public-Sta a of I i a )
Commission Na (�3 (Seal) CommissioMm.
(Seal)
REBECCA RESTIFO STIFO
EXPIR S'.May 17,2021 REVIEWS ' UPERVISOR PLANSMANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVI REVIEW
--- --------
DATE _ -- - - -- ---- _ ,
RECEIVED
DATE
COMPLETED
Rev.8/2/17