HomeMy WebLinkAboutBuilding Permit Application i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 0:1-99
a D' BuildingPermit Application MAR
pp 2 5 2021
Planning and Development Services
ST. Lucie County, Permittin
Building and Code Regulation Division Commercial yes Reside g'
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT:LOCATION:
Address: 2949 Bent Pine Dr Fort Pierce, FL 34951 Q,Ck y-1 - :1- CQ 6
Property Tax ID#: 1327-701-0043-000-2 Lot No.73-thur,85
Site Plan Name: Whippoorwill Run Townhouses Block No.
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Project Name: Whipporwill Run Townhouses
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DETAILED DESCRIPTION OF WORK:,
Remove wood roof shingles and install a 24 gauge 1"nail strip metal roof panels over a peel and stick underlayme41
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
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_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator Roof 2 Pitch i
Total Sq. Ft of Construction: 10,200 Sq. Ft. of First Floor:
Cost of Construction:$ 88,665 Utilities: —Sewer _Septic Building Height: T5'-
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OWNER/LESSEE: CONTRACTOR: ! j
NameWhippoorwill run townhouses association, inc. Name:William Lasky j
Address:3001 Johnston Road Company:Atlantic Roofing 2 of Vero Beach,inc.
Fort Pierce, Florida
City: State:_ Address:4310 45th st
Zip Code: 34951 Fax: City: Vero Beach State:
Phone No.772-461-1218 I Zip Code: 32960 Fax: 772-257-5740 j
E-Mail:9regsime@aol.com Phone N0772-492-8493
Fill in fee simple Title Holder on next page(if different E-Mailwljatr@aol.com
from the Owner listed above) State or County License CCC1326188
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _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: _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 obt r financing, consult
with lender or an attorney before commencing work or recording our NoticsO4o encement.
Signature Qwli6rl Lessee/Contractor as Agent for Owner Si nature of Contracto/Licen older
STATE OF FLORIDA �/� STATE OF FLORID
COUNTY OF / i'�( t f �rf'1►�ItLs _ COUNTY OF %Y7i�l
wv'wla
Sw.orn to(or affirmed)and subscribed before me of Sw�rt to(or affirmed)and subscribed before me of
V,P��h sical Presence or Online Notarization Physical Presence or Online Notarization
this I=2 day of fi,�7 202b by this`s day of 2020 by
Name of per on aking statement. Name of person makin=OR
ent.
Personally Known OR Produced Identification Personally Known Produced Identification
Type'of Identificati n Type of Identification
Produced f—L-. Produced
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Si ature of Notary P bi1gT, tat $ �a)AUSTIN�^ �. ( ignat re of Notary Pub is=° t off n#GG 165615 b
a ••�' :A,
F--,-,� , : Comrniss on#GG 165615 Expires rf nua 6,2022
Commission N �r = E � �'?6,2022 i COmmI5510n NO. . o d�°` Bonded }Ain Insurance 800-388 7 1!
Expires
•'FnF r��., Bonded Thru Troy Fain Insurance 800-385-7019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6/20