HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )�f
Date: �� 27 1 Permit Number:
x RECEIVED
Building Permit Application FEB 2 7 2017
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 Residential Residential
PERMIT APPLICATION FOR: Roof
PROPOSED:IMPRQUEM.ENT,LOCATIQN Ib,....
Address: 3052 Dame Rd Ft Pierce, FL 34981
Legal Description: 30 3540 FROM SW COR OF NW 1/4 OF NE 1/4 RUN N 339 FT,THE 235 FT,TH N 495.5 FT,TH E 445 FT TOE R/W DAME RD FOR POB,TH NON
RN11208.75 FT,TH E 208.75 FT, TH S 208.75 FT,TH W 208.75 FT TO POB(23A)(1.00 AC)(OR 3714-510)
Property Tax ID#. Parcel ID: 2430-121-0002-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DE5CRiPTION,OF WORK
14
remove existing shingle roof/ replace with 30 #felt and metal roofing per attached spec. sheet
remove existing flat roof and replace with torch down roofing per attached spec. sheet
CONSTRUCTION tNFt�R11lIATIO;N 4'
��. _
Additionalwork to e e orme under this permit—check a apply:
11HVAC Ei Gas Tank Gas Piping _Shutters F]Windows/Doors
Electric ❑_PlumbingSprinklers Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 50 ML )4_�_ S . Ft. of First Floor:
Cost of Construction: $ 1200,00 Utilities:L Sewer F—]Septic Building Height:
01NNER/LESSEE h CONTRACTOR ft
Name Terry L.and Debra H,Pierce Name: Owner
Address:3052 Dame Rd Company:
City: Ft Pierce State:FL Address:
Zip Code: 34981 Fax: City: State:
Phone No.772-201-1310 Zip Code: Fax:
E-Mail:terrylp-57@live.com Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPP.LEMENIAL CC7NST RUCTION LIEN LAW INF(3RMATION y K k l
DESIGNER/ENGINEER: NA Not Applicable MORTGAGE COMPANY: NA Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: NA Not Applicable BONDING COMPANY: NA 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 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
commencin , 'ork or rewding your Notice of Commencement.
S
Signatur Ow er/ essee/Contractor as Agent for Pa9, ��= Signature of Contractor/License Holder
ST E OF FLORIDAh STATE OF FLORIDA
COUNTY OF i rn n COUNTY OF
✓� �J-- 7 z Boa
The f r oing instru nt was acknowledged before ME � The forgoing instrument was acknowledged before me
this day of 4�,� 20/y—by J z c this_day of 20 by
CORI
(Name of pe on acknowledging) Ir (Name of person acknowledging)
(Signature of� tary Public- Late of Florid' ) U (Signature of Notary Public-State of Florida)
Personally Known OR�P oduc d Identification Personally Known OR Produced Identification
Type of Identification Produced l? • , ' Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE C1 I
COMPLETE
INITIALS �-�