HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST 0ECOMPLETED FOR APPLICATION T0BEACCEPTED
12Y12/2010 Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300Virginia Avenue, Fort Pierce 834982
Phone: (77Z)462'1SS3 Fax: (772)46Z'157O
PERMIT TYPE: Re -roof
Ra-VOILD
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Building Permit Application .,toot
Commercial Residential XXX
Address: 134O7Wax Myrtle Trail, Palm City, FL340Q0
propertyTax|D#: 4436-801-0004-000'4 Lut.No 4
Site Plan Name: Block No.
Project Name: Tiokino
Tear off existing tile roof system to deck. Re -nail deck as per FL Bldg code. Install new Boral Stone Coated Metal
roof system.
Additional work tobeperformed underthispennit-checkaUthatappkx
—Mechanical __GasTank Gas Piping Shutters
__Electric __Plumbing Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 84,654.00
Sq. Ft. of First Floor:
Windows/Doors
Roof 6/12 Pitch
Utilities: —Sewer —Septic Building Height:
Name Joe Tickins
Name: Troy Glowth
Address: 13407 Wax Myrtle Trail
Company: Advanced Metal Roofing d/b/a Brilliant Roofing
Address: 4149 SE Salerno Road
City: Palm City State:
Zip Code: 34990 Fax:
Phone No. (772) 336-0109
City: Stuart State: FL
Zip Code: 34997 Fax:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail reports@brilliantmall.net
State or County License CCCI 327906
IT value mconstruction is �iZWom'more, aRECORDED Notice ofCommencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN.:LAW INFORMATION
DESIGNER/ENGINEER:
xx Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
City:
State:
Address:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
),-- Not Applicable
BONDING COMPANY:
VNot 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
L
Signature of 0 ner/ Lessee/Contractor as Agent for Owner
Signature of Contr for/License Holder
STATE OF FLORIDA
STATE OFF. RIDA
COUNTY OF Martin
COUNTY OF MArtin
The forgoing instrument was acknowledgecl before me
The forgoing instrument was acknowledged before me
this day of December 20by
this day of December 20_n by
Name person making statement.
Name of person making statement.
Personally Known xxx OR Produced Identification
Personally Known xxx OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(aq Y-V--Q-
M � �Jl LAO C Q
I
(Signature f otary Public- State of Florida)
(Signature N try Public- StateofFlorida )
Commissio ]� (Seal)
Commission o. If(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
MEGAN JEANETT� LMNRENEE
Notary Public - State of Florida
Commission 4 GG 097477
MEGAN JEANETTE LONRENEE
Notary Public - St1te of Florida
Commission 4 GG 097477
°,`„Y ` ` Bcrded throw h National Notary Assn.
Borded IhrouSh National Notary Assn. 9 ro