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
1300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial xx Residential
PERMIT APPLICATION FOR: To Select from)iro.Pbax click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION1 Cabana
Address: 5061 North AIA, Fort Pierce, FL '348948,.
Legal Description: _Sec/Town/Range: 14/34S/40E
Property Tax ID d: 1414-601-0000-000-9
Site Plan Name: _
Project Name: BRYN MAWR Ocean Towers Condominium Association Inc
Setbacks Front
Back: Right Side: _ Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
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:
Tdaitional wor obenerformed under this perm — c ec 4 a appy:
HVAC Gas Tank EGas Piping _ Shutters ❑ Windows/Doors
Electric Plumbing E Sprinklers Generator Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 1,273 sf
Cost of Construction: $ 21,176.67
5. Ft. of Fir stFlFloor:
Utilities: SewerI ]Septic
OWNER/LESSEE:
Name Bryn Mawr Ocean Towers Condo. Assoc, Inc
Address:_ 5061 North A1A
City: Fort Pierce State: FL
Zip Code: 34949 Fax: (772) 569-4300
Phone No. {772) 569-9$53_
E -Mail: juliet@elliottmerrill.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:9—feet
CONTRACTOR:
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. X772) 468-7870
E -Mail: tral993@gmaii.com
State or County License: CC C056933
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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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:
BONDING COMPANY: _Not Applicable
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Name; J ��
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 authorlxe the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenanLs that may restrict or prohibit such
structure. Please consult with your Horne 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-resldential 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 lender or an attorney before
cornmencing work or ecording your Notice of Commencement. 1
1
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Co tractor/License Holder
STATE OF FLORIDASTATE
COUNTY OF ��Cki a r� `'� k yP �(
OF F. OIDLAucie
COUNTY
The forgoing Instr ment as acknowledged before me
this �d-ay of • 20,E by
The forg Instrument was acknowledged before me
ging
of , 20 2B by
Irl('_ U5
Christopher A. Lon.
Name of perso aking statement
Personally Known OR Produced Identification
Type of Identification
Name of pe on making statement
Personally Known x OR Produced Identification
Type of Identification
Produced_
Produced
(Sigjt ture of Notary Pu c-`p.� e o �uuE anH zrrT
ll 3;' `. ; Nott P s - Stale of Florida
Commission No. ;,�.. C mem&ion : �c 243242
t� c:r~ti`=•, My Comm. Expires Sec 28, 2022
E•onded through Notary Assr.
(Signature of Notary Public- State of Florida
ommission No. CG185982 Zp � I Timothy W S
,� NOTARY PU
x ' STATE OF FL
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Rev. 8/2/17
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