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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATiON TO BE ACCEPTED Date: February 9,2016 Permit Number: r kx� EIVED Building Permit APPlication FEB 15 2017 Planning and Development Services PER10ITTING Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Roof - vh.eiq ' PRPOPOSED'I(VIPRO\/EIVIENI"LOCATI:ON $'' k Address: 3198 NW Dockage Way,Palm City, FL 34990 Legal Description: WIDE WATERS S/D LOT 5(OR 3184-904) Property Tax ID#: 4436-510-0009-000-0 Lot No.5 Site Plan Name: 3198 DOCKAGE WAY Block No. Project Name: FLYNN RESIDENCE - Setbacks -=Front -Back:-- __ .-_ Right Side: Left Side: fA .7 v 'l� *Total Roofing will remove existing Shake roof down to woods rips:, *Total Roofing will install new 5/8"CDX plywood, nailed to code over existing wood strips. -*Total Roofing will install a Peel&Stickwaterproofing underlayment,fastened to code and manufactur`er's specifications. *Total Roofing will install 26ga. Galvanized accessory metals to incl6de drip edge,valley, L-metal, wall metal, etc.', primed and fastened-to-code. *Total Roofing will cut hole in plywood and install one (1) new Glass'Skylight at location of owner's choice;fastened:0 to code and manufacturer's specifications. — — *Total Roofing will install a 24ga. 1" Nailstrip w/Striations, Standard Color Metal roof systemrrianufacturer''specifications. UHVAC LJ Gas Tank L Piping LJ Shutters Windows/Doors Electric F Plumbing 0Sprinklers �Generator Roof 6 12 Roof-pitch Total Sq. Ft of Construction: 4788sf S . Ft.of First Floor: 2400sf Cost of Construction:$ 36,500.00 Utilities: Sewer Septic Building Height: 22' OWNER/LESSEE. yCONTRACTOR Name Brian Flynn Name: Juan Martinez Address:3198 NW Dockage Way Company: Total Roofing Systems Specialist, Inc. City: Palm City State: FL Address: 3201 SE Dominica Terr Zip Code: 34990 Fax: City: Stuart State: FL Phone No. Zip Code: 34997 Fax: 772-872-8033 E-Mail: Phone No. 772-872-8030 ' Fill in fee simple Title Holder on next page(if different E-Mail: jeanne(gt'otalroofingsystems.net from the Owner listed above) State or County License: CCC1330788 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. J MMW SU:PRLEMENTAL,CONSTRUCTI0N LIEUI� INFORMATION �gM .�?<... .M� E DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip:. Phone: 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 ppermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or ar.d'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 wili,'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 Ifijrn Lancing, consult with lender or an attorney before commencing work or rpgading your Notice o m encement. s Signatur Owner/Lesse�e/ factor as ent ner Sign a of Contractor/License ©I ,STATE OF FLORIDA STATE OF FLO COUNTY OF C{/b TI COUNTY OF 90'k— The for ing instru nt//,,w,,as acknowledged before me The for oing instrum t was acknowledged before me this ay of ��Jf t 20 l/by this Ly-IN of �h Gt(,l' 20 / '/by A JL&gn Jaa_r, Alw- -117 e v (Name of person acknowledging) (Name,of person acknowledging) t (Si ure of Notary Public-State of Florida) (Signa&r of Nota_ry,Public-State of Florida) PyOR Produced Identification P ouaa Know_ nT OR Produced Identification Type of Identification Produced Type of Identification Produced ,a,,,,,, , Jeans((]] �( Commission No. o�P�'P���% L I white Commission No. P�`' �. Jeanfw* White COMMI SI� #FF187820 - = COMMISSION#FF187820 EXPIRES:January 7,2019 - ,FpF WWW.AARON OTARY.COM �., ...... ' Revised 07/15/2014"�"' �v,,,,,,�a� www.AARoNNOTARY.COM 3 i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW 3 DATE COMPLETE i INITIALS j t I }