HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/19/19
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial —V— Residential X
PERMIT TYPE: Re -Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 203 River WALK Unit 2 Fort Pierce, FL 34949
Property Tax ID #: 1425-566-0002-000-1 Lot No.
Site Plan Name: Block No.
Project Name: 203 RIVERWALK AT SANDS UNIT 2 OR 3921-1898
LNIAILED DESCRIPTION OF WORK:
Re -roof
REMOVE EXISTING SHINGLE ROOF SYSTEM AND REPLACE WITH OWENS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
Electric ....... Plumbing _ Sprinklers _ Generator V Roof 6/12 Pitch
Total Sq. Ft of Construction: 3,_000
Cost of Construction: $ 16, 056.41
Sq. Ft. of First Floor;
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Dame
Name: Doug Leman
Address.203 River WALK Unit 2
Company: orchid island Roofing
City: Fort Pierce, state: FL
Address: 856 US 1
Zip Code: 34949 Fax:
City: Vero Beach State: FI
Phone No.
Zip Code: 32962 Fax; 772-999-2101
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:
City. State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: TNot Applicable
Name:
Name:
Address:
Address:
i
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 Horne 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
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR INOTICE OF COMMENCEMENT."
E I
I'
Signature of Owner/ L ee/Contractor as Agent for Owner
Sig natntractor/License Holder
STATE OF FLORIDA
G
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrume t was acknowledg d before me
this day
The f, oing instr ent was acknowledged before me
of 20J4 by
�
this day of k E=A 2Q k by
A
Name of person making statement.
Name of p n ma ki statement.
Personally Known OR Produced Identification
Personally Know OR Produced Identification
Type of Identificati n
Type of Identjf' ation
Produced
Produced
CC
(Sig ature of Notary Public- State of F K0FE5RfMNAWQ93JJSIgnature
of Notary Public -State of Florida j
Commission No. 114�wm'
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ommission No.
CARALE WELL
Notary Public • State of Florida
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGET 0 9me,�Exppires J n 3, 2025
B01 dafUllrmal tl'� ,G OVE
COUNTER REVIEW REVIEW
REVIEW REVI
DATE
RECEIVED
DATE
COMPLETED
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