HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r �Q /!J Permit Number: O
J - RECEIVED
Building Permit Application FEB 2 6 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 X Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: (Courthouse Bldg A) "2Jf �; ;fin S4
Legal Description:
Property Tax ID#: `I 10 co 0 3 a 0 0 Lot No.
Site Plan Name: Block No.
Project Name:, 'gisti s'BIETg ¢roof- s4 LvCre C�yei .4 12,elL`t
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Re-roof: Flat roofing
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit—check all appy:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
11 Electric Plumbing Sprinklers ElGenerator Roof 1�4Roof pitch
Total Sq. Ft of Construction: 22,300 Scl. Ft.of First Floor:
Cost of Construction:$ 193,800.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name St. Lucie County Name: Dave Wikel
Address:2300 Virginia Ave Company: Therma Seal Roof Systems, LLC
City: Ft. Pierce State: FL Address: 1421 Oglethorpe Rd
Zip Code: 34982 Fax: City: West Palm Beach State:FL
Phone No. Zip Code: 33405 Fax:
E-Mail: Phone No. 561-223-2096
Fill in fee simple Title Holder on next page(if different E-Mail: Jrivera@thermasealroofs.com
from the Owner listed above) State or County License: CCC1325862
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Y Not Applicable
Name:_ _ Name:_
Address:_ _ _ Address:
City. State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: K 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 financings suit with lender or an attorney before
commencing work or recording our Notice of Commencerfient.
Signature ofbwner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF Palm Beach
The forgoing instrument was acknowledged before me The forgoing instrument wasackno ledged before me
this 23 day of JANUARY 20 18 by this day of 1. 0,r 20 1 Eby
JEREMIAH JOHNSON Dave Wtkel
Name of person making statement Name of person making statement
Personally Known X OR Produced Identification Personally Known x —
Type of Identification JAMES CL/188Y Type of Identification JASMINE kIVT�
Produg6d NOTARy PUBLICB �`
Produc �� Commission N GG 04667
My Commission Expires
ATE OF FLORIDA
SI
Crbnxrr 09,408 ", ``' January 22. 2021
(Qgnature of otary Public-State of Florida) ( nature of Notary Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17