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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 06/19/19 Permit Number: COUNTY • 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 y Residential PERMIT TYPE: Re-Roof PROPOSED IMPROVEMENT LOCATION: Address: 201 River WALK Unit 1 Hutchinson Island, FL 34949 Property Tax ID#: 1425-566-0001-000-4 Lot No. Site Plan Name: Block No. Project Name: THE SANDS 201 RIVER WALK DETAILED DESCRIPTION OF WORK: Re-roof REMOVE EXISTING SHINGLE ROOF SYSTEM AND REPLACE WITH OWENS CORNING DURATION SHINGLE ROOF SYSTEM LMNSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: Mechanical —Gas Tank _Gas Piping _Shutters _Windows/Doors Electric Plumbing _Sprinklers T Generator V/Roof Pitch Total Sq. Ft of Construction: 3000 Sq. Ft.of First Floor: Cost of Construction: $�� .qQ� Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name o►J i ck :-T;&,fK Name:Doug Leman Address: © -\ur wcg c- Company:Orchid Island Roofing City: r✓ +r1 50 t2 3�5 lot Id State:_ Address:856 Us 1 Zip Code: Fax: City: Vero Beach State:FI Phone No. qC2 Zip Code: 32962 Fax: 772-999-2101 E-Maii: i t G i • Phone No 772-6433-5950 Fill in fee simple Title Holder on?(ext 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 NVAC 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: Not Applicable Name: Name: Address: Address: 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. 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 YOUR 140TICE OF COMMENCEMENT." Signature of Owner/Lessee/Contractor a gent for Owner Signature O Co6tractor/License Holder STATE OF FLORIDA STATE OF FLORIDA A COUNTY OF �� COUNTY OF I C a m The f r ing instru nt as acknowledged before me Theo going instr ent was acknowledged before me this day of e 2024 by thwdktwday of 20A by Name of person making statement. Name of pe n making_statement. Personally Known OR Produced Identification Personally Kno R Produced Iden ' attgq Type of Identification Type of Iden ' ication Produced Produced21 — (SignatbreYff Notary Public-State of Florida) (Signature of Notary Pu I ;; f HOPE BREANNAWON. > aE Commission No. S �( EWE mission#HF108270 Commission No. (Seal) Expires January 20.202:, � Q- edSlxuBudgetMtaryrServiass REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19