HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: o� Permit Number. ---------
PA C;90It:I V,
MAR 2 5 2021
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Building Permit Application ST. Lucie County, Permitting
Planning and Development Services
Building and Code Regulation Division Commercial yes Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED'.IMPROVEMENT LOCATION
Address: 2961 Bent Pine Dr Fort Pierce, FL 34951 �, ^
Property Tax ID#: 1327-701-0043-000-2 ��� Lot No.73-thur 85
Site Plan Name: Whippoorwill Run Townhouses Block No.
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 underlayment
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New Electrical Meter Second Electrical Meter
60NSTRUCTI0N I'NF.ORIV)ATION
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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 Roof s !Z Pitch
Total Sq. Ft of Construction: 8900 Sq. Ft. of First Floor:
Cost of Construction:$ 77,512 Utilities: —Sewer _Septic Building Height: 15'
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OWNER/LESSEE CONTRACTOR..
N a me Whippoorwill run townhouses association, inc. Name:William Lasky
Address:3001 Johnston Road Company:Atlantic Roofing 2 of Vero Beach,inc.
City: Fort Pierce, Florida State:_ Address:4310 45th st
Zip Code: 34951 Fax: City: Vero Beach State:
Phone No.772-461-1218 Zip Code: 32960 Fax: 772-257-5740
E-Mail:gregsime@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.
SURPLEMENTAL 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:
Zi p: 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 f�f
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 I
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 fig ncing, consult j
with lender or an attorneybefore commencingwork or recordingour Notice of men ment.ACK/o�J1K1Z_r1
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Signature Ow er/Lessee/Confracior as Agent for Owner Sig ture of Contractor/License Ho r
STATE OF FLQKDA STATE OF FLORIDA
COUNTY OFJ_0 jaGW COUNTY OF_T_(7dt 6D (;!-,e 1
Sworn to(or affirmed)and subscribed before me of ;So�n to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Prese ce or Online Notarizationthis /7dayof L2 ( 2026 by s 1'7 day of %�G�'L 2020 by
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Name of pe son making statement. / Name of person making statem nt. j
Personally Known OR Produced Identification 1/ Personally Known OR Produced Identification
Type of Identifir-atio Type of Identification
Produced (—L. L I)L Pro uced '
( igna re of No ryo,Pi7i 11c- tdidf�Flldrit I)! (Signatsue of Notary Public-$ a e pf, lorida)_
__ Co nLmission n GG 165615 'ry{»
Commission No. IF iresJanuaryy' ::�P` ?,; DE�2�aA�L•WUSI!IJ
(v 'I} Commission No t, td 'b�F; P• Bonded Thru Troy Fain Insurance 000-U&i6�9 y CO i r,o n GG 1;CGS
Fxoires Jaruary 6,2022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION C SEA RILE a N OVz
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
COMPLETED
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