HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 0UQ 12 Z9
RECEIV71 MAY 22 7017
A .
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 Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: Ryan P. Russell
Legal Description: Section 32/Town 34S/Range 40E
2214 North 47th Street, Fort Pierce, FL 34946
Property Tax ID#: 1431-701-0252-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Russell Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove shingle roof and rolled roofing low-slope roof,dry roof in with self adhered underlayment, Install Polyglass SAP/SAV
modified bitumen roofing to the low-slope roof and Owens Corning Oakridge shingles to the sloped roof areas.
PolyGlass SAV/SAP FPA FL 1654-R20. TARCO FL10450-R8
Owens Corning Oakridge Shingles FPA FL10674-R12
CONSTRUCTION INFORMATION:
Additional wor to a er orme-un er t is permit—check all that app y:
❑HVAC Gas Tank Gas Piping _Shutters Windows Doors
1-1Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: 1,112 S . Ft. of First Floor:
Cost of Construction: $ 6,500.00 Utilities:0Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Ryan P. Russell Name: Christopher A. Long
Address: 2214 North 47th Street Company: The Roof Authority, Inc.
City: Fort Pierce State: FL Address: 6771 North Old Dixie Highway
Zip Code: 34946 Fax: City: Fort Pierce State: FL
Phone No. (772)475-4992 Zip Code: 34946 Fax: (772)468-2247
E-Mail: rayslusserjr@att.net Phone No. (772)468-7870
Fill in fee simple Title Holder on next page( if different E-Mail: tra1993@gmail.com
from the Owner listed above) State or County License: CC C056933
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x 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: 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 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 1 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
commencing work or recording our Notice of Commencement
Signature of Owner/Lessee/Agent Signa ure gorCo ract uen Holder
STATE OF FLORIDA STATE OF FLORID_
COUNTY OF COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instru nt was acknowledged before me
this�day of ,�o..�� 20 Eby this l /�day of IVIA21 20 f by
__�A�n �LI�S�\\ CY�hI��A►'lcr/*LOYIA
Tr,sona no le in Owner/Lessee/Agent Printed Name (Name of perso acknowledging-)Contractor's Name
ignature of N lic-State of Florida) (Signature of Potary Public-State of Florida)
Personally Known OR Produced Identification Personally Known '� OR Produced Identification
Type of Identification Produced,rLOI_ Q �'�54�► 4 Type of Identification Produced
TIMOTHY W.BUTTON
Commission No.F�`j S eal) D�MCGHEE Com Sion No. FF104511UBILIC
STATE FLORIDASTATE OF FLORI
s %oury Public-state-0 Florida
Expires 312WMI8
Revised 07/15/2014 My Comm.Expires Sep 18.2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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4/24/2017 Page I
" 6771 N. Old Dixie Highway Fort Pierce, FL 34946 Phone:(772)468-7870 Fax:(772)468-2247