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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: E� / Permit Number: T. LClC1E �� Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Address: Property Tax ID #: 2—q 9-) i o GNU �—' -- -4 Residential Mn J V) Hous� Lot No. Site Plan Name: o Block No. Project Name: lri1�1 to l 15U New Electrical Meter Second Electrical Meter I (toy r_0 1� ) 1.. a x } x.xaz-; a'c'a sw:.w� �3 >!'R „�„' ` v# a s b i f 4 '� - CONST2UCi10NINFORMATION,.�; Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator 011oof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: —Sewer _ Septic Building Height: v CCrNTRACT�R 'w'.a e fi _' Name _Q U52 1 )1 CI�rr/����J Name: � Company: (2 )1. Y Address;�)� ( S l`)✓1rl,S� eQW City: )��$�C.F . State-l:�L Addre`ss�: G l t� L'�t bLh City:�1'�� J�l Ui� C�,(.l { , State-V_ Zip Code: �r—i CA 1 2 - Fax: �A Phone No. "/ Zip Code:(:2-) qG-7),Fax: Phone No l � 7, _ E-Mail: Fill in fee simple Title Holder on next page ( if different E-Mail " State or County License from the Owner listed above) if value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SIJrP�PLE:MIA'���OI�STRU4Cr�I�ON;�LIENLA�W�I;NFOR�MATI�O`Nj�`��"'�t�' `�' DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: City: State: Address: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ 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. 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attornev before commencing work or recording vour Notice of Commencement. ",--< Z_22� Signature of O e e, Agent for Owner Signature of act er STATE OF FLORIC` �4 STATE OF FLORIDA / COUNTY OF COUNTYOF Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Pregence or Online Notarization Physical Presence or Online Notarization this j day of PUCAITI 202 by this ____,,_ day of Q�!- 202by Name of person making statement. Kenny Hanzow Name of person making statement. any Hanzow Personal[ Kn n dFem�!iflublk►n Pers na y Known WMr t' n Type of Id nti i aV _ i State of Florida Y) °: Type f I ntification Aoi Produ i✓� e of Florida m# HH087667 Produced Comm# HHOS7667 ed p res 2/1/2025 NEE l9 Expires 2/1/2025 (Signatu o Notary Public- State of Florida) (Signak, of Notary Public- State of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. I Section• D (Steep Slope f System) Roof System Manufacturer: ��'l✓ l ✓ \ �� d�� Notice of Acceptance Number: i Minimum Design Wind Prey ores, If Apppiicable (From RAS 127 or Cal t�i lions): Zone 1. • one 2e Zone 2n9.4 Zane 2r:�one 3elTZone 3r: Deck lype: Cj Ci� Type Underlaymerit ' C:7) Roof. Slope- 1 2 Insulation: Fire Barrier: ,l Rldge�lration? Fastener Type & Spacing: CDO ' Adhesive Type: Type Cap Sheet: 77 Mean RooPHeight:% , Roof -Covering: %V' Ao Type 8 Size Drip 2 `7 C t U'' Edge: i i A ST. L-UCIE WORKS Section A (General Information). Master Permit No. Process No. Contractors Name: 1 ��--� r ` +1 License # Job Address 1� ; ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles ❑Asphaltic Shingles Metal Panel/Shingles Mood Shingles/Shakes ❑ Prescriptive SUR-RAS 150 ROOF ROOF TYPE. El New roof ❑ Repair ❑ Maintenance '�-© Reroofing ❑ Recovering .ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) _� Total (SF) Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 20 13 "'"" 13 2 i N I