HomeMy WebLinkAbout205 River Walk Bldg AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date: 06/19/19
CC)U NT Y
F L it H 1 0 A
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34981 Residential`
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial -
PERMIT TYPE: Re -Roof
Address: 205 River Walk 3 Fort Pierce, FL 34949
Property Tax lD #:
1425-566-0003-000-8 Lot No.
Block No.
Site Plan Name:
-..', + eI—.. 205 RIVERWALK AT SANDS UNIT 3
Re -roof ITH OWENS
CORNING DURATION SHINGLE ROOF SYSTFM
ON THE SUBMITTED ROOF DIAGRAM
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank , Gas Piping T Shutters _ Windows/Doors
Electric !Plumbing Sprinklers — Generator VRoof
6/12 Pitch
Total Sq. Ft of Construction:
3000
Cost of Construction: $ 16,056.41
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Address: - '— user Lo -
City: � - r., State: tc-
Zip Code: _��? �! - Fax:
Phone No._ U cf — c 1k. ` o ?
E-Mail: :.-e & 4C'�a [;.GS• ✓EP
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Doug Leman
Company: Orchid Island Roofing
Address, 856 us 1
City: Vero Beach
Zip Code: 32962 Fax:
Phone No 772-643-5950
E-Mail
State: FI
772-999-2101
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.
- -w•�,:
01
DESIGNERANGINEER: ^
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
State:
City:
State:
City:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao the worK and insiaoauori as Mu
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 contlict 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
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 NOTICE OF COMMENCEMENT."
Signature of Owner/ t see/Contractor as Agent for Owner
4r
STATE OF FLORIDA e I. J
COUNTY OF ' V
The fggrgoing instrum nt was acknowledged before me
this L day of 20 by
Name of person malciinnJg statement -
Personally Known kX OR Produced Identification
Type of Identification
Produced
[Sign re of Notary Public- State of g�ida MOPE BREANNAWOOD
"modPM192lon 14 HN 08i:7t
Commission No. * al s,Iy� 2p,2M
,'�or }i. 8a�df d T4�i' E"dget.NolAC134TM
REVIEWS j FRONT I ZONING
COUNTER REVIEW
RECEIVED
COMPLETED
Signature-'o—ftar�tractor/License Holder
STATE OF FLORIDA
COUNTY OF' �, � L`
The fo oing instru ent was acknowledged before me
this day of 2Q`by .
Name ofi' rson making statement.
Personally Known _ OR Produced Identification
Type of Identific tion
Produced At
(Signature of Notary
Commission No.
SUPERVISOR j PLANS I VEGETATION
REVIEW J REVIEW REVIEW
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