HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/19/19
i
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Re -Roof
Permit Number:
Building Permit Application
Commercial _�L_
PROPOSED IMPROVEMENT LOCATION:
Address: 206 River WALK APT 16 Fort Pierce, FL 34949
Property Tax ID #: 1425-566-0016-000-2
Site Plan Name:
Project Name: 206 RIVERWALK AT SANDS UNIT 16
DETAILED DESCRIPTION OF WORK:
6/12 PITCH AS SEEN ON THE SUBMITTED ROOF D
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical , Gas Tank Gas Piping _ Shutters
Electric ^ Plumbing Sprinklers Generator
Total Sq. Ft of Construction: 3000
Sq. Ft. of First Floor: _
Cost of Construction: $ 4.39 Utilities: _Sewer Septic
OWNERAESSEE:
Name
r Korbev Jr
Address:Dlane Lynn Korbe
City: 206 River WALK APT late:
zip codeFort Pierce, Fax: FL 34949
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Residential -)t--
Lot No._
Block No.
Windows/Doors
V Roof 6L12 ^ Pitch
3000
Building Height:
Name: Doug Leman
Company: Orchid Island Roofing
Address: 856 US 1
City: Vero Beach State: Fl
Zip Code: 32962 Fax. 772-999-2101
Phone No 772-643-5960
E-Mai I
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,S{f0 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
ORTGAGE COMPANY: Not Applicable
�Name:
Name:
^'
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Rhone:
FEE SIMPLE TITLE HOLDER: , Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address;
Address:
City:
City:
Zip: Phone:
zip: Phone:
murr► co / r`r-%Rrrn w rr. m w
-•-- -�.�./ a.vr■ r rare„ r wr%E•lrr11UV11 : 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 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 YOU11 NOTICE OF COMMENCEMENT."
Signature of Owner/
STATE OF FLORIDA
COUNTY OF
ctor as Agent for Owner
The forgoing instrum t w s acknowledged before me
this day of 20" by
Name of person making statement.
Personally Known IV OR Produced identification
Type of identificati n
Produced
(Signat a of Notary Public- State of Florida
arwNr'BPpeKEANNAW440IN
Commission No.omk& mmissio,l�il•i9o27U
N,''�, r�e •xpiresianusry20,t�a25
9jF:F F1.!' 5ma't Wi l3Ud1j.33rby0W'&V
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
17ATE
RECEIVED
COMPLETED
tense Holder
STATE OF FLORIDA --
COUNTY OF UYA
The f oing instr ent was acknowledged before me
this. day of _ , 20-- by
Name of pbr�}on makin statement.
Personally Known - OR Produced Identification
Type of Identification
Pr luced
7
(Signature of
>i4~�`^ • Notary Pubiit • State of Norida
Commission No. Commission ="r 0
My Comm, Expires an 3 OI5
Bonded through National Notary Assn,
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW