HomeMy WebLinkAboutBuilding Permitting All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09-09-2020 Permit Number: �•Q -8 12-2
91r.I (Uj ME RECEIVED
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Building pp Permit Application
Planning and Development Services Permitting
Lucie Countyet
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Roof-to-wall wind mitigation retrofit
PROPOSED IMPROVEMENT LOCATION:
Address: 107 Pepper Lane Jensen Beach FL 34957
Property Tax ID#: 4511-503-0021-000-8 Lot No.15
Site Plan Name: Bay tree lot 15 Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Update the roof-to-wall wind mitigaton attachements to meet the standards of FL Statute 706.8.1-706.8.7 by installing
HGAM10KT(FL11473.5)gusset angel brackets per the engineer specifications.
New Electrical Meter Second Electrical Meter
FCONSTRUCTION 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 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2889-- Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Chrisopher J Kanakis Name:Ron Witherow
Address:107 Pepper Ln Company:Wind Mitigation Retrofits of FL LLC
City: Jensen Beach FL State:_ Address:3340 SE Federal Hwy Suite 268
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.732-644-0559 Zip Code: 34997 Fax:
E-Mail:christokanakis@aol.com Phone No 772-501-4613
Fill in fee simple Title Holder on next page(if different E-Mail windmitretro@gmail.com
from the Owner listed above) State or County LicenseCGCO21698
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.
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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Count nd ed on the jobsite before the first inspection. If you intend to obtain financing, consult
with len r rney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Sigff ture of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF— _✓YI &A r-r tJ COUNTY OFMertin
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization X Physical Presence or Online Notarization
this_y day of _San°k ,2020 by this 8 day of September 2020 by
Ron Witherow
Name of person making statement. Name of person making statement.
I
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
( gnatt r (Signature No Pu Florida
RO.N A WITHEP :�°".''., SAMANTHA LEE JONES
r°•,� 4� Notary Publlc State ofFlorida :iF'
Commissio Q"s, p GG 934�1al) Commission No. ''c MY C04NIIU)ON*G0108537
My Comm.Expires Mar 14,2024 •%•,? EXPIRES May 25,2021
Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6/20