HomeMy WebLinkAboutPermit app ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2/18 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2903 TROPIC BLVD FT PIERCE, FL 34946
Legal Description: SHERATON PLAZA UNIT 2 REPLAT LOT53 (OR 238-2327: 327-741: 2968-704)
Property Tax ID#: 1432-805-0053-000-7 Lot No.53
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 NEW SHINGLE ROOF
CONSTRUCTION INFORMATION:
Additional work to e nerformed under this permit—check a apply:
F1HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Z Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 2000 S Ft. of First Floor:
Cost of Construction: $ 7870 Utilities:Sewer Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name bck�\sal `1—ck Name: �)o:ArP Uo of i
Address: ��( � f C��C� 1`� �1C� Com an n^ (j
(�. ( P Y�►�1 1 1�11-P Q Y\o C��1-i(1G�
City: F—fi P;-e-co—L State: T-�-- Address: �J JCSIA'Okli
Zip Code: 3���1`l� Fax: City: i '(CQZ Stater
Phone No. Zip Code: 3y$SQ Fax: 1�d-tI(nt{-lnlo(�
E-Mail: Phone No. 3^21.-L-ILoLH M�
Fill in fee simple Title Holder on next page(if different E-Mail: Con)
from the Owner listed above) State or ounty License: CCC (3SbLOLl I)
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
115"1 .O
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 struct es, swimming pools, fences,walls,signs, screen rooms and accessory uses to another non-residential use
WARNING T OW R: Your failure to Record a Notice of Commencement ay res It in your paying twice for
improvem is to ur pro rty. No e of Commencement must be cord and pos on thejobsite
before th irst i pectin . yo in nd to obtain financing, consult th le er or an r y fore
comme n w k or rec di r Notice of Commencement. /
Si nature of Owner/Less /C tractor as Agent for Owner Si ture of ontractor/Licen H der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY ( u'%-f, COUNTY OF 5+ L(.t_,t:e.
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this day of 4bJ f-L. 20 1'6 by this_�J day of Fe_6- .Cf-Lb 20 /S by
1� n ACtw Cir i ,
Name of person aking statement Name of person making statement
n Personally Know _ OR Produced Identification Personally Known I,," OR Produced Identification
Type of Identification Type of Identification
Produced Produced
gnature of Notary Public-State of Florida ) (Signature of Notary Pu lic-State of Florida )
o1g.y pu" FAITH MASON SAY Pud
o �,� FAITH MASON
Commission No. S12,6gOMMISSION#GG003939 Commission No.
N o WfAIMISSION#GG 003939
EXPIRES;June 20,2020 *
%rF pe` Bonded7hru Budget Notary Services ` o� EXPIRES:June 20,2020
OF F� rA�r I'Va Bonded Thru Budget Notary SeNICBI
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17