HomeMy WebLinkAboutBuilding Permit Application I
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1 Date: a� �( Permit Number: � ql�'
RECEIVED j
Building Permit Application MAR 2 5 2021
Planning and Development Service's
ST. Lucie County, Permitting,
Building and Code Regulation Division Commercial yes Residen
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:-(772)462-1553 Fax:(772)462-1578
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PERMIT APPLICATION FOR: j
PROPOSED IMPROVEMENT LOCATION:
Address: 3009 Bent Pine Dr Fort Pierce, FL 34951 �®
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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 j
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 1�1, Roof S — l Z Pitch
Total Sq. Ft of Construction: 5,800 Sq. Ft. of First Floor: i
Cost of Construction:$ 55,983 Utilities: —Sewer _Septic Building Height: 15'
OWNER/LESSEE: 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 City: Vero Beach
Zip Code: Fax: Ci State:
Phone No.772-461-1218 Zip Code: 32960 Fax: 772-257-5740
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.
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:
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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. i
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 before commencing work or recording o Notice pMomvnencement.
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Signature Ow r/Lessee/Contractor as Agent for Owner §Oature of Contractor/License er
�kw"d
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF 1
Swoyn to(or affirmed)and subscribed before me of Swop to(or affirmed)and subscribed before me of
V Physical Presence or Online Notarization V Ph sic Presence or Online Notarization
this day of EC3 202d by this % day of Y} &I._ ,202V by
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Name of pers n king statement. Name of person making sta ement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifica. on Type of Identification
Produced oduced
(Signs re of Notary Pub is tate of'F-�•�-,{'a j igrt re of Notary Public�Sf9fe`dYFIb?id
t Wrap@,, DEBO&4 L.AUSTIN DEBORAH L.AUSTIN
n Co m sio #GG 165615
Commission No. ommission No. Com gel #GG 1652
Expirr's' 1lary 6,2022 _—'
Bonded Thru Tro Fain Insurance 800-385-70 9 ,y;Q Expirzs January 6,2 022
t� Y -F°F fig' Bonded Thru Troy Fain Insurance 800•a8rr/0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE :
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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