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HomeMy WebLinkAboutTheofilos Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION ro, BE ACCEPTED
Date: Permit Number:
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial _ Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION: (
Address: Mr KY—r Le. occl ovt PE 19LO-W.P, Df . 34gsl
Property Tax ID #: � ��� ¢c.Lr�J�" ®Z3� " Lot No.
Site Plan Name: Block No.
Project Name:h Ci LS
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 Roof Pitch
Total Sq. Ft of Construction: I OR Sq. Ft. of First Floor:
Cost of Construction: $
Utilities: __ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name_
Address: N_-nL'0U_-& Oct
Company:
City: �i{ 1e�( Q, State
Address: I55cT5y_ 5 N�ein��i�r' Cam,
Zip Code: �i� ( Fax:
City„ 1c I IS'{ 1 LCAr_ State:
Phone No.
Zip Code: � 2 Fax:
E-Mail:
Phone No _ '7
Fill in fee simple Title Holder on next page (if different
E-Mail el .
from the Owner listed above) ,
State or C unty License P01, 3, 5 /.
IT value or construction is z5UU 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.
UESIU5NERI ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address-,
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name-,
Address:
City: State:
Zip: Phone:
BONDING COMPANY. Not Applicable
Name:
Address:
City:
Zip: Phone:
UVVIMtK/ LUNTRACTOR 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 ancovenants 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
wit,lVle,Rder or ar m before commencine work or recording %tour Notimm of CnmrritznrPmont
Cigna & e �of �er/ Lessee/Contractor as Agent for Owner
*6at ure - of- &_intri'ct_or/License Holder
STATE OF FLORIDA
COUNTY OF C-C-L-)
STATE OF FLORIDA
COUNTY 5+
OF
Sworn to (or affirmed) and subscr"a before me of
I 7�1;2
Swc;Ttw(or affirmed) and subscribed before me of
Phvskal Prese ce or
'&VCJ7:�_ Online Notarization
Ph '.94 Pres e or Online Notarization
this day of _.202d by
this j0day of 2020 by
y
Name f person making statement.
Name of person making >statem
'P
Personally Known _ OR Produced Identification
Personally Known - OR Produced Identification
Type of Identification
DL
TyJ5e`o_fTd_e_ntNi_ation
Produced I
(Signature
(Signature of Notary ubli State of for'
Commission No. 1
PIA)l C State r'F)!T!Mda
Commission No.
Notary Public State of Florida
Pamela Jones
My -b `4070
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REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Section D (Steep Slope Roof System)
Roof System Manufacturer: �r J _� - > t " lG� S 5-V�
Notice of Acceptance Number:
Minimum Design Wind Press es, If Applicable (From RAS 127 or Calculations):
:tone 1: 4q? one 2elMone 2n:^____Zone 2r: one 3e: -Zone 3r:
Deck Type:
Type Underiayment:
Roo Slope:
insulation: kkk:
Fire Barrier:
Ridge Ventilation? Fastener Type & Spacing:
Adhesive Type: �.
Type Gap Sheet:
r
Mean Roof Height: _ 1 0 Roof Covering:
Type & Size Drip Y x.
Edge:�Q,�pYl_,.�
SKETCH REPORT I MEASUREMENTS DIAGRAM
Dan / Kristi
March 3, 2021
Property address
800 Kenwcod R,:
Fo-: Pierce, P3-1951
Prepared by
FCRS I ( C Oti c
H69 SE S Vie _"e, Ci,c e
(772) 6=_ 6268
uice@fcrslc.coin
^ROOFSNAP SKETCH REPORT 1 MEASUREMENTS DIAGRAM 3
Section A (General Information)
Master Permit No. Process No.
Contractors Name: � C0OAW License #
Job Address e-)r_D 1) L L.Qg 2&
❑ Low Slope
®Asphaltic Shingles
0 New roof Cl Repair
Low Slope Roof Area (SF)
ROOF CATEGORY
L3� �Mechanically Fastened Tile
,01n e_tai Panel/Shingles
❑ Prescriptive BUR-RAS 150
❑ Mortar/Adhesive Set Tiles
Mood Shingles/Shakes
ROOF ROOF TYPE.
© Maintenance Reroofing
ROOF SYSTEM INFORMATION
Steep Sloped Roof Area (SF)
❑ Recovering
Total (SF)
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,