HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/19/19
COUNTY
t L D R I r
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Fr! 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Re -Roof
Permit Number:
Building Permit Application
,_ PROPOSED IMPROVEMENT LOCATION:
Address: 211 River Walk Apt 6 Fort Pierce, FL 34949
Commercial V Residential X
Property Tax I D #: 1425-566-0006-000.9
Lot No.
Site Plan Name:
Project Name: 211 RIVERWALK AT SANDS UNIT 6 (OR 3294-2032; 3315-745) Block No.
DETAILED DESCRIPTION OF WORK:
!fie -roof REMOVE EXISTING SHINGLE ROOF SYSTEM AND REPLACE WITH OWENS
CORNING DURATION SHINGL
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
,Mechanical
_ Electric
_, Gas Tank
Plumbing
Total Sq. Ft of Construction: 3000
Cost of Construction: $ 16,056.41
OWNER/LESSEE:
Name
Gas Piping — Shutters ` Windows/Doors
Sprinklers _ Generator -�/ Roof 6/12 Pitch
Sq. Ft. of First Floor: anno
Utilities: _Sewer —Septic Building Height:
Address: 211 River Walk A t 6
City. Fort Pierce, FL 34949 state:
Zip Code: Fax: ~
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Doug Leman
Company: Orchid Island Roofing
Address: 856 US 1
City:Vero $each
State• FI
Zip Code: 32962
Phone No 772-643-5950
Fax: 772-999-2101
E-Mail
State or County License CCC1329687
If value of construction is $2500 or more, a RECORDED Notice of Commencement N required.
If value of HVAC is $7,soo or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
UC»t3NtH/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
ZiP: Phone:
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
which is in eorifli t with any representation that
Assocationi rules bylaws or andpcovenants holder
ot maiy restrict orproh bit 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."
caner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA � /�i
COUNTY OF ZZte'.
The forgoing instrument was acknowledged before me
this day of 20,U by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificati
Produced
[signature of Notary Public- State of�+Io ) HOPE BREANNA WOC
* # Cominissim # HH OU
Commission No. I) ExpiresJanuary20,2I
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REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
I_D
RECEIV
DATE
COMPLETED
SignatUre of Contractor/License Holder
STATE OF F!O @ ��-
COUNTY OF
The oing instr ment was acknowledg before me
t� day of ` 2( by
Nameof person making statement.
Personally Known OR Produced Identification
Type of Identificatio
Pduced
— NC1
signature of N °t Jic- StatEC Mr+k LP
Da ,y • �'s Notary Public - state of Florida
ommI
i " • Commission # HHI1W�-66�p
im 5510n No... 4� Expires,kf,�la2b25
Bonded through National Notary Assn,
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW I REVIEW