HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; _ Permit Number:
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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 XX Residential
PERMIT APPLICATION FOR; To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: lubhouse.
Address: 5061 North All A, Fort Pierce, FL
Legal Description: Sec/Town/Range; 14/34S/40E
Property Tax ID #; 1414-601-0000-000-9 Lot No.
Site Plan Name: IBlock No.
Project Name: BRYN MAWR Ocean Towers Condominium Association Inc_
Setbacks Front Back: Right Side: Left Side:
J DETAILED DESCRIPTION OF WORK:
Remove existing wood shake roof, renail wood deck with ring shank 8d nails, dry roof in with
Polystick TU Plus self -adhered underlayment install new copper edge metal, install 1/2" pressure
treated wood shake roof system.
CONSTRUCTION INFORMATION:
A-d(Tiiioria worko e e orme under tills perm -- c
LIHVAC Gas Tank Gas Piping
11 Electric Plumbing E Sprinklers
Total Sq, Ft of Construction: 3,647 sf
Cost of Construction: $ 42,353.34 Uti
ects au apply:
r I Shutters
u Generator
5 Ft. of First Floor:
lities:1`_J Sewer I -= � Septic
Name tsryn mawr ocean i owers uonao. /Assoc, inc
Address: 5061 North A1A
City: Fort Pierce State: FL
Zip Code: 34949 Fax: (772) 569-4300
Phone No. (772) 569-9853
E-Mail: julietta@ellittmerrill.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Windows/Doors
EX Roof 5112 Roof pitch
Building Height; 9-feet
Name: Christopher A. Long
Company: The Roof Authority, Inc.
Address: 6771 North Old Dixie Highwy
city: Fort Pierce State; FL
Zip Code: 34946 Fax: (772) 468-2247
Phone No. — 67.72) 468-7870
E-Mail: tral993@gmaii.com
State or County License: CC C056933
If value of construction is $2.500 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 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 aut orixe the permit holds 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 le n eT- ran attorney before
commencing work or recording your Notice of Commencement,
G
5ignature of Ow6erj Lessee/Contractor as Agent for Owner
rise Holder
Signature of Confr cto/C"3
STATE OF FLORIDA --
COUNTY OF t u , \ 1/�
STATE OF FL 0
COUNTY OF
The far ving Instr meat was acknowledged before me
thlsday of Z4aP by
The forgoing Instrument was acknowledged before me
this : day of , 2420 by
Christopher A. Long
_
Name of perso making statement
Personally Known OR Produced Identification
Name of peC�on making statement
Personally Known R —. OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ba�
—
.S kX
( gn t re of Notary Public- State of Florida)
(Signature of otary Public- State of Florida )
Com sivn No. U�" Pik.--_ �u�ySgbf•�!:TT
ary Public - State of Fiorida
Commission = GG 2437 ;2
oer%°Y' My comm. Expires 5e� 2d. L 2_
Commission No. GG'18598� t a imothy W. 5utt
MOTARY PUBLI
r ti STATE OF FLOR
PLANS VEGETATION SEA TU l 7VTAWGSRDVE 2
D
REVIEWS
R
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17