HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q �j
Date: 1- 2-,[r; iqT Permit Number:
o _ RECEIVED
Building Permit Application JUL 2 2 2019
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 XX
PERMIT TYPE:RE-ROOF -
PROPOSED IMPROVEMENT LOCATION:
Address: 2312 ATLANTIC BEACH BLVD
Property Tax ID#: 1436-603-0028-000-5 Lot No. 17
Site Plan Name: Block No. 30
Project Name:
DETAILED DESCRIPTION OF WORK:
REROOF/REMOVE EXISTING.ROOF AND INSTALL A NEW 5V METAL ROOF SYSTEM
PITCH 4/12 1800SQFT w
FC07NSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1800SQFT Sq. Ft.of First Floor:
Cost of Construction:$ 25,000 Utilities: —Sewer —Septic Building Height: 12'
OWNERAESSEE: CONTRACTOR:
Name John H Canada Name:JOSEPH KOLINOSKI
Address:2312 Atlantic Beach Blvd Fort Pierce, FL34949 Company:ONSHORE ROOFING SPECIALISTS, INC
City: State:_ Address:.4401t SE:COM MERCE AVE
Zip Code*.';,• `'` Fax: City: STUART. :. . State:FL
Phone No.(772).519-3939 _ Zip'Code:"34996 Fax: 772-283-1557
E-Mail:t�acjrbcanada@gmail.com Phone No 772-283-1505
Fill in fee simple Title Holder on next page(if different E-Mail INFO@ONSHOREROOFING.COM
from the Owner listed above) State or County License CCC1328994
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 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:p&rnit to do the work and installation as indicated.
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 NOT COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPS . A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE T INSPECTION. IF YOU INTEND TO OBTAIN FINANC G, CONSULT
WITH YOUR LENDER O N TrO BEFORE RECORDING YOUR NOTICE OFC CEME
Signature of ee/Contractor as Agent for Owner Signature of C c icense Holder
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STATE OF FLORIPA STATE OF FLORI
COUNTY OFA.ate 1/1 COUNTY OF
The fgyning instru e t s acknowledggdiefore me The fq�going instru nt as acknowledge"efore me
0 LA-1-clay of 20�� by this 6U day of 20_L`'by
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Name of IS-ersoo making stat ent. Name of person making statement.
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced Produced.
(Signature otary P I� ,S e o oryu
State of Florida (Signature of ry F o i
Trisha Neal Hutchinson ry�ry pyb.
Commi Sion No. � . MyC«�icy1pnGG 14x949 Commi sion No. Trisha�I3tolFroride
w Expires 1010 /2021 . nson
MY CommisasironnGt G148949
a w Expires 10/01/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MAN E
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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