HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACLm i ED a
7/30/2020
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial FV_1 Residential
PERMIT APPLICATION FOR: Roof III
I"PROPOSED IMPROVEMENT LOCATION:
Address: 3101 INDUSTRIAL 2 AVENUE, FT. PIERCE, FL 34946
Legal Description: AIRPORT INDUSTRIAL PARK -UNIT ONE- BLK 1 LOTS 2 AND 3 (OR 1134-1055; 3427-447)
Property Tax ID
Site Plan Name:
Project Name: AUTO LABE
Setbacks Front Back:
IDETAILED.DESCRIPTION OF WORK`
Right Side: Left Side:
Lot No.
Block No.
INSTALL WHITING HIGH PERFORMANCE SPF (SPRAY APPLY POLYURETHANE FOAM) ROOF
SYSTEM
CONSTRUCTION`INFORMATION:
itiona wor to e e orme under
❑HVAC Gas Tank
tispermit—check
❑Gas Piping
all apply:
In _ Shutters
❑ Windows/Doors
❑ Electric ❑ Plumbing
❑Sprinklers
❑ Generator
Roof FLAT Roof pitch
Total Sq. Ft of Construction: 26,000
S'C Ft. of First Floor:
Cost of Construction: $ 70,000.00
Utilities:Sewer ❑Septic
Building Height:
OWNER/LESSEE;
CONTRACTOR:
Name BOOTH MANUFACTURING COMPANY
Name: EUGENE WHITING
Address: 3101 INDUSTRIAL 2 AVE.
Company: WHITING CONSTRUCTION, INC.
City: FT. PIERCE state: FL
Zip Code: 34946 Fax:
Phone No. 772-223-1215
Address: PO BOX 1908
City: PALM CITY State: FL
Zip Code: 34991 Fax: 772-223-1215
Phone No. 772-223-1215
E-Mail: wci@whitingconstruction.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: wci@whitingconstruction.com
State or County License: CCC 033699
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: Po sox 1908
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of er/ Lessee/Contractor as Agent for Owner
Signature ontractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTIN
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 30TH day of JULY . 20 20 by
this 30TH day of JULY . 2020 by
EUGENE WHITING
EUGENE WHITING
Name of person making statement
Name of person making statement
Personally Known r7s' OR Produced Identification
Personally Known _p_ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced \ n \
(Signature of Notary Public- tate of Florida)
(Signature of Notary Public- Sti6 of Florida )
Commission No. (Seal)
Commission No. NNA OONEY
:':t~":''• ANNA MULROONEY
MY COMMISSION IF GG041309
' EXPIRES Octo
•
MY COMMISSION
# GG041309
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DATE
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DATE
COMPLETED
Rev. 8/2/17