HomeMy WebLinkAboutBuilding_Permit_ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
nntw 12/01 /2n2n
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial X Residential
PERMIT APPLICATION FOR: Re -Roofing
PROPOSED IMPROVEMENT LOCATION:
HUUI CJJ: WWI v IIII.IUJII ICtl GJU I Jl. r-1 rle(Ge, r-L
Property Tax ID #: 1429-801 -0000-000/9
Site Plan Name:
Project Name: KDL REROOF 2020
DETAILED DESCRIPTION OF WORK:
supply and install Carlisle metal retrofit tpo roof system
Lot No.all
Block No. all
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 X Roof Pitch
Total Sq. Ft of Construction: 14,250
Sq. Ft. of First Floor:
Cost of Construction: $ 71,656.00 Utilities: _ Sewer _ Septic Building Height. 20
OWNER/LESSEE:
CONTRACTOR:
NameKDL Industrial Association, Inc.
Name: Heath Evans
Address:3313 Industrial 25th St
Company: EP6 Group, Inc
City: Fort Pierce State:
Address: 1150 Bell Ave
_
Zip Code: 34946 Fax:
city: Ft Pierce F
Phone No,
State:
Zip Code: 34982 Fax:
E-Mail:9ameroomdepot@yahoo.com
Phone No 7723329100
Fill in fee simple Title Holder on next page ( if different
E-Mail heath@ep6group.com
from the Owner listed above)
State or County License CCC1331902
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
ORTGAGE COMPANY: Not Applicable
Name:
_
ame:
Address:
[Address:
City: State:
ty: 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 County 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 our Notice of Commencement.
— //I_)� 1,
in- I--,'
Signature of Owner/ Lessee/ ontractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA j
�j-r- t-4-Ck
COUNTY OF L
STATE OF FLORIDA r
COUNTY OF -:�y7
Sworn to (or affirmed) and subscribed before me of
Physical Presence orPhysical
Swo n to (or affirmed) and subscribed before me of
this day of _ (=irit. 2020 by
Presence or
this day of YC 'i� i 2020 by
't1tv(r1
v,4�..i S
Name of person making statement. G. PQ G. Tgyz /2".i
Name of person making statement. `1>>����i�it�oy������
Personally Known_ OR Prod ec�dNs
ype o n : ��P 2�
Personally Known own OR Produced Ic�fi`icaDtiTAY������''
Produced �.- ®� *
Type oT fttentifi�atibn °o30
Produced . �gP o�,w
_-
' Is #GG340204
i Oi' •�/hr �e`;�• p� ��
2 o°o #GG340204 `mrE;• 4-
`
(Signature of Notary Public- State of � �gCtC, STAtEO\l`���`
(Signature of Notary Public- Stateof Florid �f`•:''��9r,
Commission No. GG 3 7a Za Y (Sealf'����I�,�t,``
Commission No. �G d 7�L� / ���"�AUB«C, STAjE���
(Sea''>�i�ni
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.