HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ?iIS(IZ), Permit Nul
T. LUCIE
I -0 RJi
F F U 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 _
PERMIT APPLICATION FOR:
PROPOSED IM.MENT LOCATION:
Address: Lila 10 5(lwtbc. -.T i'OQ't aX CS
Property TaxlD#: 1313.70i -tf041 -000-3 Lot No.
Site Plan Name: Block No.
Project Name: ftt.-70 6a 1oc. St
DETAILED DESCRIPTION OF WORK: I
I
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 4Roof Pitch
Total Sq. Ft of Construction: 2)Oo Sq. Ft. of First Floor: _
Cast of Construction:$ i5cl(0.o0 Utilities: _Sewer _Septic
Building Height: I Shyo,
OWNER/LESSEE:
CONTRACTO ;
Name fi_v z3 ros,-
Name:P.IZ ', d2 ic�1�'CftsCdlO vl
Address: )n37 5t1Vgs�ga_y"Ovt&TY
iA�A�'P-oc�i-V�%
Company: 7yu:y V CX-a
City: AhAkn. C.kii Aa v.Gte.\ 1 State:Vo
Zip Code: 2323L. Fax:
Phone No. Bold-2Q.-udi L.
Address: 2100 W 'I—kM 5?_r
City: COf Oa State: FI
Zip Code: 32c(-L6 Fax:
Phone No 31158-1 L4-7S
E-Mail:
XV`on" �k a o—ogyyat tk_ CDyvr
Fill in fee simple Title Holder -on next page ( if different
from the Owner listed above)
E-Mail C1�1
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L29 aaLy -y DAyl9�Oltkoylao ccunn
State or County License .3%2a
••--•---• •.......... •• .....,., — um,e, n n".i% .. mace or uommencemenr 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: YNot Applicable
—?�
Name:
Name:
Address:
Address:
City: State:_
City: State:_
Zip: Phone
Zip: Phone: '
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: XNot 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 Count yy makes no representation that is granting a ppermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or antl 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 beforecommend nR work or recording our Notice of Commencement.
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Signature caner/ cessee/ tractor as ngemtor uwner
STATE OF FLORI
COUNTY OF�L/rQLfY�
STATE OF FLORIDAB
COUNTYOF IJ%PIICm
Sworn to (or affirmed) and subscribed before me of
to (or affirmed( and subscribed before me of
Physical Presence or Online Notarization
this_day of IYIQ[Q�,2024 by
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�n sical PreserLce or Online Notarization
thlsday j ✓11 _, 202QI by
{ Ait4g6 —
Name of Or#n melding statement.
Name ofAraon making statement.
Personally Known_ OR Produced Identification
Personally Known OR Produced Identification_
Type of Identification
Type of Identification
Produced
Proodduucyerd,,
(Signature of -
Not AURY JAH L x FAR
Commission No. 'y "'"•. ary Public-5 [eo rlonEa
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My [mmm, Expires Jan 2A, 2025
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ISignature No '
�''FF;. aARY JANE LOCY,LFAp
Commission N0. iger�'� xurar"Y pyblic(jr(ar"
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REVIEWS FRONT
' COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS VEGETATION SEATURTLE MA OVE
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
ST. LUCIE WORKS
Section A (General Information)
Master Permit No.
Process No.
Contractors Name: icLo�- y—oo*Iy�RV�v%CONSQS VtSvL�ice`nse# ay_30
Job Address QQU 10 SOumbo '4 V1tx r F11
ROOF CATEGORY
O Low Slope O Mechanically Fastened Tile E]Mortar/Adhesive Set Tiles
'11Asphaltic Shingles 13Metal Panel/Shingles 13Wood Shingles/Shakes
O Prescriptive BUR-RAS 150
ROOF ROOF TYPE
O New roof O Repair 0 Maintenance )&Reroofing ORecovering
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Iv I Steep Sloped Roof Area (SF) 2.11614 Total (SF) 7-160
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains,
Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets.
(-C) MaLlx <>aAas tY'90,
SKETCH REPORT I PITCH DIAGRAM
Project from Propertyaddress Prepared by
09/30/20 Janet Fraser ThomasEgendoerter
September 30, 2020 667D Samba St 2100 West King Street Coma
Fort Pierce, FL 34945 Florida 32926
804-212-4816 (321)890-7251
tegendosrterercCe_Tal om
fraserjlee@gmaiigorn
AR00FSNAP SKETCH REPORT � PITCH DIAGRAM 2
SKETCH REPORT I MEASUREMENTS DIAGRAM
Project from
Propertyaddress
Prepared by
09/30/20
lanet Fraser
Thomas Egendoe6ar
Saptember 30, 2020
6670 Samoa St
2100 West King Street Cocoa
Fort Pierce. FL34945
Florida 32926
804-212-4816
(321) 890-7751
tegendoortereotygeraitcom
traserjlee@gmailoem
AROOFSNAP SKETCH REPORT I MEASUREMENTS DIAGRAM 3
SKETCH REPORT I AREA DIAGRAM
Project from
Property address
Prepared by
09/30/20
Janet Fraser
Thomas Egeodoerfer
September 30, 2020
6670 Samoa St
2100 West King Street Cocoa
Fort Plerce, Fit 34945
Florida 32926
804-212-4816
(321) 890 7751
tegoodoerfer.ercagmai[ corn
freecrileepgmaiicom
AROOPSNAP SKETCH REPORT I AREA DIAGRAM rj
ST. LUCIE WORKS
Section D (Steep Slope Roof System)
Roof System Manufacturer: CMAw'yS\LQA 1jfs, -
4%12ys iip� "( L
]I
Notice of Acceptance Number:
rL �'Ir'I -�Ijs N-IIZ.(4.6q LoW10.NGo 6i,rvwd..i
UU
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): Ita- OSlO.7'I
Zone 1:_Zone 2e:—Zone 2n:_Zone 2r:_Zone 3e:_Zone 3r:
Deck Type: 42 t ) v'c j
R f Sb Type Underlayment • i �k 7t)". ,
�P�
: 12 Insulation: NYit
Fire earner: N _
RidgerltnlllationP Fastener Type&Spacing: Ada-taA smP4x 1'�
OUIW `i1r), f+r�
Adhesive Type: Qeor�
Type Cap Sheet:
Mean l:\htRmf Covering:
Type & Size Dripyo,fµ 4
Edna.