HomeMy WebLinkAbout213 River Walk Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/19/19 Permit Number:
COUNTY
• R i r
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMIT TYPE: Re -Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 213 River WALK Unit 7 Hutchinson Island, FL 34949
Property Tax ID #: 1425-566-0007-00-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Re -roof
CONSTRUCTION INFORMATION:
Lot No._
Block No.
Additional work to be performed under this permit —check all that apply:
Mechanical Gas Tank —Gas Piping , Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Quincy Pont, Riverwalk Board President Name: Doug Leman
Address: Company: Orchid Island Roofing
City: State: _ Address: 856 US 1 Vero Beach, FL 32960
Zip Code: Fax: 772-999-2101 City: Vero Beach State: FI
Phone No. Zip Code: 32962 Fax:
E-Mail: Phone No 772-643-5950
Fill in fee simple Title Holder on next page ( if different E-Mail
from the Owner listed above) State or County License CCC1329687
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC 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:
State:
City: State:
City:
Zip: Phone 772-643-5950
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/ CONTRACTORAFFIDVIT: Application is hereby made to doLair, d NCfF111L LU uV �•�� -�••� ••-•- •-_._.. __ .
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
E THE FIRST INSPECTION IF YOU INTEND TO OBTAIN FINANCING, CONSULT
POSTED ON THE JOB SITE BEFOR -
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU&NOTICE OF CIOMMEN CEMENT.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of ontractor i se Holder
STATE OF FLORIDA ,
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STATE OF FLORID
COUNTY OF " � .. '
COUNTY Of G!
The forgoing instru ent was acknowledged before me
2Dby
this rA day of � �
The forgoing instrument was acknowledgbefore me
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this IL day of 11; r+L--� , 20. by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Iden ification
1 C
Type of Identification
Produced
Produced
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REVIEWS FRONT ZONING SUPERVISOR
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DATE
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DATE
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