HomeMy WebLinkAboutSpeedway 6485 Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
F Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:COMMERCIAL ROOF OVER
PROPOSED IMPROVEMENT LOCATION:
'AA—". 6601 S US HIGHWAY 1 PORT ST. LUCIE, FL
Property Tax ID #: 3415-501-0037-010-2
Lot No.
Site Plan Name: Block No.
Project Name: SPEEDWAY #6485 ROOF PROJECT
DETAILED DESCRIPTION OF WORK:
INSTALL ISO FLUTE FILLERS BETWEEN RIBS, INSTALL 1" ISO INSULATION, INSTALL
FIRESTONE 60 MIL TPO ROOF SYSTEM PER NOA 18-1126.06 PG 70 OF 109
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Z Lope Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof '251--l' Pitch
Cost of Construction:$ 22,500.00 Utilities: _Sewer _Septic
Building Height: 15
OWNER/LESSEE:
CONTRACTOR:
Name
Name:
Address:
Company:
City: FINDLAY State:
Address: VU bL)A 946
_
Zip Code: 45840 Fax:
City: AUBURMALE State: FL
Phone No.
Zip Code: 33823 Fax: 65-7670F
E -Mail: D
Phone No$ n
Fill in fee simple Title Holder on next page ( if different
E -Mail G ao .coal
State or County License 1 75
from the Owner listed above)
„ value u, wnxruwun m vuu or more, a newnueu notice oT commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: 4E I T14 �� -
MORTGAGE COMPANY: Not Applicable
ame:
Addr s: 0 N -
s:
City! State:
Zip: one:
City: State:
Zip: Phone - (1
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: A
City:
Address:
City:
Zip: Ph n :
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 thepermit 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, watts, 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recordine vour Notice of Commencement.
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Signature o caner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLOR
COUNTY OF IK
STATE OF FLORI
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n
COUNTY OF 1
Sw9rn to (or affirmed) and subscribed before me of
Sworr to (or affirmed) and subscribed before me of
Phy ical Prese ce or Online Notarization
—
✓ Physical Presence or Online Notarization
this qday of . 2020 by
�c4�xn P)�:<-�,n
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this ay of r� a_ 2020 by
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Name of person making statement.
Name of person making statement.
Personally Known < OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sig-ftat6re_oLNoWP go OrifttAYH. BISHOP (Slgnatu taryPu FloridWJDSAYH.B
MY COMMISSION # GG 161478 MY COMMISSION # GG 161478
Commission No.- ;(�) March 17,2022 Commission No. �:' FytRJMarch 17, 2022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.