HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
r
Building.Permit Application
Planning ond'Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginlo Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Re-cover
PROPOSED IMPROVEMENT LOCATION:
Address: 5500 Orange Ave, Fort Pierce, Fl. 34947
Property Tax ID#. 2407-232-0001-0005 Lot No.
Site Plan Name: St. Lucie Battery & Tire Block No.
Project Name: St. Lucie Battery & Tire Re-roof Truck Shop
DETAILED DESCRIPTION'OF WORK: install Carlisle Metal Retro-fit Roof System over existing
metal roof.
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: 8,941 sq feet Sq.Ft.of First'Floor:
Cost of Construction:$ 80,000.00 Utilities: _Sewer ,_Septic Building Height.
OWN ER/,LESSE E: CONTRACTOR:
Name St. Lucie Battcry And Tire Company Name: Christopher A. Lon
Address:5500 Orange Ave Company: The Roof Authority, Inc.
City: Fort Pierce -State, FL Address: 6771 North Old Dixie Highway
Zip Code: 34947 Fax: City: Fork Pierce State.-E.-
Phone No.772-475-9137 Zip Code: 34946 Fax:772-468-2247
E-Mail: acole.Ccbslbt.com Phone No 772-468-7870
Fill In fee simple Title Holder on next page(if different E-Mail tra 1993 cry mail.coin ; tim.sutton@),gniail.com
from the Owner listed above) State or County License CCC056933
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: Forensic Engineering Consultants, Inc. Name:
Address: PO Box 970034 Address•
City: Boca Raton State: PI_ City: State:
Zip: 33497 Phone (561) 901-8490 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 molder to build the subject structure
which Is in conflict with anyy applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult vsilth 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 inspectio f you Intend to obtain financing,consult
vvitb lender or an attorney before commencing work or recordjhg VQur Notice of Commencement.
v
SignarOF
essee� r as Agent for Owner 5ignat a of Co ractor/License Holder
STALOR A STATE OF ORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization X Physical Presence or Online Notarization
this day of_Deceml,er ,20 20 by this I ti day of November 20 20 by
Christopher A. Long
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification x Personally Known x OR Produced Identification
Type of identification Type of Identification
Produced Produced
IY1'►�eA_la�_��IT' lV4hu���r.'1r..' �u�.�
(Signature of Notary Public-State of Florida)� (Signature of No ary Public-State of FloridaANRY )
Timothy W.Sutton
Commission No. C� G7 l l '� r1. ° TARY PUBLIC y W.Sutton
Commission No. GG185982
--STATE OF FLORIDA RYPUBLIC
_ i Gi 85982 Io r STATE OF FLORIDA
s�N E lies 31201202 y Co ,n#G
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