HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
r
Q,
�- Permit Number:
Date: `�-� •2� ; I
i
,. �� R 5i
P A° a - Building Permit Application ���
Planning and Development Services � � 9
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: 2969 Bent Pine Dr Fort Pierce, FL 34951 act tn-1
Property Tax ID#: 1327-701-0043-000-2 Lot No. 3-thur 85
Site Plan Name: Whippoorwill Run Townhouses Block No.
Project Name:,Whipporwill Run Townhouses
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
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 'LC Roof J t Z Pitch
Total Sq. Ft of Construction: 8,200 Sq. Ft. of First Floor:
Cost of Construction:$ 71,506 Utilities: _Sewer _Septic Building Height: 15
I
OWNERAESSEE: CONTRACTOR: ! ,
Name 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
p 34951 y Vero Beach
Zip Code: Fax: City: State:
Phone No.772-461-1218 Zip Code: 32960 Fax: 772-257-5740
E-Mail:gregsime@aol.com Phone N0772-492-8493 j
'Fill in fee simple Title Holder on next page(if different E-Mailwljatr@aol.com
from the-Owner listed above) State or County License CCC1 326188
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.
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 TITLEHOLDER: _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 obt4 financing, consult
with lender or an attorney before commencing work or recording our NoticRO ComuKencement.
Signature Ow r/Lessee/Contf actor as Agent for Owner Si a ure of Contractor Licens bVer
STATE OF FLORIDA STATE OF FLORMA
COUNTY OF COUNTY OF _L o6u W V k
Swop to(or affirmed)and subscribed before me of Swop to(or affirmed)and subscribed before me of
V Physical Presence or Online Notarization V P sical Presence or Online Notarization
this /�day of (!� 202d by this L L)day of 2020 by
Name of p rs n making statement. / Name of person making st tement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced 11�� ff Produced `j
(Si"a re of Notary Public-Statelof-FISTi nat re of Notary Public-Stat (0o'i
;•..>QY.e DEBORAHL.AUSTIN ;o<P4Ye�a;•. EBORAH L.AUSTIN
Commission No. ' / c ission#GG 165615
�� `' ,,� :r_ Corr(S��On#GG 165615 C• mission Noc S6/. s
Expires January 6,2022 :,;, P; xpiPes January 6,2022
w p ry Bonded Thru Troy Fain Insurance 0 85-7019 p?
-'••.RF`�0�' Bonded Thru Troy Fain Insurance 800-865-019 "F0�F`�'• Y
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20