HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S)"t
O
® Building Permit Application
Planning and Development Services
Commercial Residential
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 349S2
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: Z
Property Tax ID #: 7 'A Z 1 Q + Q02"\ - 0Q0 Lot No.
Block No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
a N(ak, c 1ac�e
'� ,
-A c� . Sr►nn i+�rr l t s l via —rr r+A � o�� owpe
ke .
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 _ Windows/Doors � Pond
_ Electric _ Plumbing Sprinklers _ Generator Roof ah -, Pitch
Sq. Ft. of First Floor: _ �� 0 a�
Total Sq. Ft of Construction: Q� 2 (�
Cost of Construction- $ -7 . 1 0 J `' Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
Name MLA X-
Address:
City: l ry-c State: F-L
Zip Code: Fax:
Phone No. -7 L
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name:
Company:
Address:
City:
Zip Code:
Phone No
E-Mail
State or County License
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Fax:
State:
MENTAL CONSTRUCTION LIEN LAW INFORMATION:
ER/ENGINEER: _Not Applicable
F
MORTGAGE COMPANY: Not Applicable
Name::
Address:
City: State:
State:
City:
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 authorize the permit holder to build the subject structure
structis urenPleasecconisultwithpypoiurHome Owners Asso Association and review your debylaws ored for any restrits ct onat s which may aprohibit such
In consideration of the granting of this requested permit, I do hereby agree that l 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 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 attorne t before commencing work or recording our Notice of Commencement.
pa4s 12 —.A-*—
signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF L c cCi
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this q� day of a 2020 by
. -Lu
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
(Signature of Notary Public -
Commission No.��
REVIEWS
FRONT
ZONING
COUNTER
REVIEV
DATE
RECEIVED
DATE
COMPLETED
ev.5 /20
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this _ day of .2020 by
Name of person making statement.
Personally Known OR Produced identification
Type of identification
Produced
5US4N M0Nl c N�
CUMNIS 10N r GG U 900igrission
of Notary Public- State of Florida )
EXPIRES April 202
aThri%LgryrabwfcUnde No. (Seal)
SUPERVISOR
REV EW VREVI WON SEATURTREV EWLE MANGROVE
'' : FORT PIERCE BRANCH
CASH -FORT PIERCE -WALK -TN .'BEACON BUILDING PRODUCTS
701 S MARKET AVE _= 7 01 S MARKET AVE
FORT PIERCE, FL 34982 :;...:::FORT PIERCE, FL 34982-6643
Telephone: 999-999-9999 -
Telephone: 772-466-3461
07 12/20
Bid expire
s
onIs
/
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_........................__........................................:......................:::::_:::.::::::............::... P
................ .......__. :...: g
6/12/20
3"X3"X10' WHITE
7.5000 PC
225. 00
10
30 PC THE ROOF EDGE
RL WBR ROLL VALLEY 16"X50' GALV
52.5000 RL
105.00
20
2
26GA G-90 GALVANIZED FLASHING
27.52
PC PLD 2.5# 2" LEAD ROOF FLASHING
13.7600 PC
30
2
PURE LEAD TRU PITCH F2
2.5# 211 8"X10"X1Cl"
19.7400 PC
19.74
1 PC PLD 2.5# 3" LEAD ROOF FLASHING
40
PURE LEAD TRU PITCH F3
2.5# 3" 10"X12"X10"
24.5000 PC
24.50
1 PC TRI loll GOOSENECK ROOF VENT
50
TBVENTGN10GL 6/CTN
GALVALUME MILL FINISH
21.5000 PC
322.50
60
15 PC PLYWOOD CDX SYP 19/32"
DME RETROFIT RESID MASTERFLASH
36.5200 PC
36.52
70
1 PC
RESIDENTIAL MASTERFLAOHPFOR
CASE
ELECTRICAL MAST
DMLEMC101BS
28.9500 CTN
57.90
2 CTN NLS COIL ROOF NAIL RS 1-1/4"
80
RING SHANKNAILS/COIL
NON DADENCNTY
48.5000 BX
48.50
1 BX NLS COIL RS 8D GAL 2-1./211 DADE
90
8D RING SHANK
DADE COUNTY APPROVED
BDL
2,579.40
90 BDL OCF SE OAKRIDGE AR DESERT TAN
28.5600
100
SV AT
SOUTHEASTREGIONANT INC ~3KBW SQ
A
26.0000 BDL
234.00
9 BDL OCF AT SUPREME 25 AR DESERT TAN
110
3 BDL/SQ
25 YR 3-TAB
ATLANTA PRODUCT
BDL
84.00
BDL TRI O SHINGLE STARTER 7-3/4"
42.Q000
120
2
n 7 1
C SH-FOORT PIEAVE-WALK-IN
FORT PIERCE, FL 34982
FORT PIERCE BRANCH
BEACON BUILDING PRODUCTS
701 S MARKET AVE
FORT PIERCE, FL 34982-6643
Telephone: 999-999-9999
6/12/20
13C
14(
151
1.6
17
Telephone: 772-466-3461
Bid expires on. 07/12/20
page 2
36/PALLET 14PALLET/TL 864PC/TL
10OLF
WTR PROTECT
47.8700
RL
765.92
16 RL
TRI S/A SAND R ICE
7
2SQ NO BOX
91.0000
RL
273.00
3 RL
POL ELASTOFLEX SA V BASE 2SQ
POLYGLASS SELF ADHEREDSBS
RL
540-00
6 RL
POL POLYFLEX SA P G WHITE 1S4
90.0000
POLYGLASS SELF ADHERED APP
CAP
OMNI ROLL VENT 30' NAILABLE
77.4000
RL
77.40
1 RL
TRI
1RL/BX 24RL/PLT 720/TL
7.0000
PC
42.00
6 PC
LBR 2X4X10'KD SPF #2 & BTR
Other Charges 60.00
Fuel Surcharge 60.00
Other Charges Total:
TH S BID DOE NOT INCLUDE FUEL SURCHARGES,
WHICH Y BE ADDED O THE COST
UPON THE NATIONAL AVERAGE FUEL R SULTING FUEL
OF MATERIALS LISTED ABOVE. THESE CHARGES ORIGINAT WITH OUR VEpj�ICE As OR'
SY THERS AN, MENTBOFEENERGY. THE DOE REVIEWS THES
Subtotal:
5,522.90
382.40
Tax: ::;