HomeMy WebLinkAboutPermit application 2100 macquillen Rd.All APPLICABLE INTJ
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � ` � I Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential voe
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR..
PROPOSED IMPROVEMENT LOCATION:
Address:W OW
dt
!a4.
Property Tax I D #: ��lY �� �%� � Lot No..-� �
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
0 Ap
WMI -Epp
� V Y - IMI
Ivy
or
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 oors _Pond
_Electric _Plumbing _Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Aii�-� Sq. Ft,. of First Floor:
i
ff
Cost of Construction: $ � Util*ltiese. _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name �1' ` ��f Name:
Address: �I Company:
City: PSy�-, S}'• �1,#,(.(. State: Address: 'C
Zip Code: Fax: City: State: �L
Phone Na � i ,Zi Code: � y Fax:
E-Mail: /RA � Phone No
Fill in fee MIMPI Title Holder on next page (if different E M ai I Wr
from the Owner listed above) State or County License
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.
ST. LUCIE WORKS
Master Permit No.
Contractors Name
Job Address
Section A (General Information)
ense #
001" ROOF CATEGORY
�iv Slope "``' 6%% 1:1 Mechanically Fastened Tile
,sphaltic Shingles ❑ Metal Panel/Shingles
/ ❑ Prescriptive BUR-RAS 150
ROOF ROOF TYPE.
New roof ❑ Repair ❑ Maintenance ❑
Low Slope Roof Area (SF)
Sketch Roof Plan: Illustrate all lei
Include dimensions of sections and I
ROOF SYSTEM INFORMATION
Steep Sloped Roof Area (SF)
Section B (Roof Plant'
Is and sections, roof drains, scuppers, overflow scuppers
eels, clearly identify dimensions of eieUated pressure zones and
Process No.
!2 'dam ram.-
13 Mortar/Adhesive Set Tiles
OWood Shingles/Shakes
Reroofing
❑ Recovering
Total (SF)
-h
,
and overflow drains.
location of parapets,.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone MENEEMEMEfts Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Names. Name:
Address: Address:
City: City:
Zip: Phone: zip:. Phone:
OWNER/ CONTRACTOR AFFIDVITs. Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
IP
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 concurrencv review: room additions.,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses t
WARNING TO OWNER: Your failure to Record a Notice of Commencemen
improvements to your property. A Notice of Commencement mus
Lucie County and posted on the j"obsite before the first inspection
with lender or an attorney before commencing work or recordin�
%I
Signaty(e of Owner/ Lessee/Contractor as Agent for Owner I fg A T'6 re of
STATE OF FLORIDA
COUNTY OF Lo
Swo o (or a
Physical
this aq 1 day
ff*irmed) and subscribed before me of
Presence or Onli
:)f M 4&&1_
ne Notarization
202f by
o another non-residential use
t may result in paying twice for
t be recorded in the public records of St.
""I intend to obtain financing, consult
lou r Motice�of Commencement.
STATE OF FLORIDA
COUNTY OF
nse Holder
Swor to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of , 2020 by
Name of person making statement,. Name of person making statement.
Personally Known � OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced
Produced
(Signakure of Notary Public- State of
Commission Na. i;oer q 111 (,11—
REVI EWS
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
FRONT
COUNTER
iricra - - - - _ - _ - _-tSignatar
Notary Public Stat of Florida
Caren Dick
Cammissivn G �PrAT 1 ssi
a � Expires 09/091202
of Notary Public- State of F
No. &Qq /it to 7
wmmdfir-npq� —
• Notary Public Stag
� Karen Dick
My Commission G
Expires 09M91202
ANGRO
ZONING
SUPERVISOR
REW REVIEWPLANS I REVIEW I EGETATIVRIEVII WON 5 REVIEWATURTLE M REVIEWVE
d
lorida
NOTICE OF COMMENCEMENT
Permit No.
State of Florida, County of St. Lucie
Property Tax ID No. 3414m501 -0416=200-9
The Undersigned hereby gives notice that improvement will. be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available
ST LUCIE GARDENS 14 36 40 BLK 4 W 1/2 OF S 1/2 OF LOT 16 (2w50 AC) (MAP 34/14S) (OR 1232-2820)
General description of improvements remove and replace roof
Pam Porter MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT
Owner/lessee �� h1 �vY��.�� SAINT LUCIE COUNTY
Address 2100 MacQuillen Rd, Port St. Lucie, Fl.
Interest in property: owner
Fee Simple Title holder (if other than owner)
FILE # 4871917 06/01/2021 12:54-06 PM
OR BOOK 4620 PAGE 2127 - 2127 Doc Type: NC
RECORDING: $10.00
Address
Contractor Kelly Ryan Holmes Phone # 7722326988
Address 612 NW Sunset Dr. Stuart, Fl. 34994 Fax # 8884099460
Surety Phone #
Address Fax #
Amount of Bond
Lender
Address
Phone #
Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
bv Section 713.13 (a) 7., Florida Statues:0
Name
Address
In addition to himself, owner designates
Phone #
Phone #
Irmia"i
Fax #
of
to receive a copy of the Lienor9 s Notice as provided Jn Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT. -W-Pwlq�
Owner/Lr
ee; or owner's or Lessee's Authorized Ofrcer/Director/Partner/Manager/ SignatureOil 4d7
Signatory's Title/Office
0k
State of Florida, County of � �,t1CI
Acknowledged before me this et. 1 `� ,day of
w is personally known to me o ho has produced _
a re otAotary Typ
Titles. Notary Public Commission Number
20,).-, by �o^1'�Q
0,1 or Print Name of Notary
�4
as identification.
(Seal)
ro�gY PUB�� L. I YS!'1 JAN E 'l�A�ii YY �•:
7 m y
COMASSION # GG94-166.)
�; 9jFQFFyOQ EXPIRES: December 19, 2023
U�.�dITC,�S-1
Section D (Steep Slope Roof System)
Roof System Manufacturer:
Notice of Acceptance Number:
Minimum Design Wind
Pressures,
if Applicable (From
RAS 127 or Calculations):
.Zone 1:
izone
2e: Zone 2n:...,Zone
2r:. Zone 3e. Zone 3r:
Roof S Pe.
12.
X_
'w
Ridge Venti�agon?
■
Mean Roof Height:
i
Deck Type.0
Type Underlay ent .1 cokoe ,` V.
w
Insulation:
EEEEEOW�
rMweg-
Fire Barrier:
Fastener Type & Spacmg:
I
hid
Adhesive Type:
Type Cap Sheet
Roof Covering:
Type 8 Sipe Drip
Edge:
f
t
ft
NIA
let,.. �
11
4