HomeMy WebLinkAboutBuilding Permit Application s
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a5 Permit Number:
RECEIVED
•••• JAN 2 5 2018
Building Permit Applicatio
Planning and Development Services ST. Lucie County, Permitting
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 - S \�
PROPOSED IMPROVEMENT LOCATION:
Address: 202 River WALK Unit 18 Fort Pierce
Legal Description. RIVERWALK AT SANDS UNIT 18(OR 3905-80)
Property Tax ID#: 1425-566-0018-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED�EkRIPTION OF WORK:
Remove existing roof material, renail deck to code. Install self adhred underlayment and new shingles
CONSTRUCTION INFORMATION:
Additional wor to e Dertormed un er t ispermit—check all M appy:
HVAC Gas Tank E]Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing ❑Sprinklers Generator J Roof ( Roof pitch
Total Sq. Ft of Construction: 9_`7 1 Sq. Ft.of First Floor:
Cost of Construction: $ 1.2 -350 Utilities: 0 Sewer E]Septic Building Height:
OWNER/LESSEE. ._ ,; ... �� =` CONTRACTOR:
Name Terri L Ferguson Name: Douglas L Poe
Address:202 River WALK Unit 18 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( 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:
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.
Alin,
Signature f Owner/Lessee/Contractor as Agent for Owner Signature of Contract r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 'MC�II`4' i) COUNTY OF ';U1 a4i V\
The for oing instrum t was acknowledged before me The forgo* instrume t was acknowledged before me
this�day of ; 20�by this day of 201S by
kvac�4 6 -ec.a I (O'sP
N e of person making statementNa a of erson making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificat'on Type of Identification
Produced Produced
I in
(Signatu)e of Notary Public Stateorida) �( qignatuof Notary Public State o I id
Commission No. Q� (Seal) Commission No.
F" REBECCA RESTIFO
QW MY COMMISSION#GG91863
REBECCA RESTIF ^
REVIEW> FgampM1ss1 vCA W SUPERVISOR PLANS VEGETATION SEA TURTLE ANGROVE
°spa 0W- rm `RVV Fk REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED _
DATE
COMPLETED
Rev. 8/2/17