HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services j
Building and Code Regulation Division Commercial Residential [/
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
r04—
P,IZOPOSED IMPROUEMENl`LOCATION
Y
Address: 40 U (o
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:�L��v �� L�
New Electrical Meter Second Electrical Meter
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 _ Roof 2- Pitch
G
Total Sq. Ft of Construction: J 0 Sq. Ft. of First Floor:
Cost of Construction: $ -5 - 0 00 Utilities: —Sewer _Septic Building Height:
Name - i V1 I VLA/ ' L-1 I U
Address:r��
city: jpl � State:
Zip Code:--?)` ,,OA 99 Fax:
Phone No. H�
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: - c-►!1 _ • V r
Company:
Address: LCAePhA
City: 2 State:
Zip Code: 3y %�� Fax:
Phone No ��' 9D - h�
E-Mail �1
State or County License 3 n
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.
_ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
_ Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
Zip: _
Ph
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.
6a;c
O Agent for Owner
Signature oSignatureof
er
STATE OF FLORIC `
STATE OF FLORIDA
COUNTY OF- --�.r=
COUNTY OF 1
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Pre nce or Online Notarization
Physical Presence or
Online Narization
this T 0 day of 2026 by
this day of V�-'-202 by
r
Name of person making statement:
Name of person making statement. Kenny Henzow
enrry Hanzow
Known
t "EnTuation
Personall Kn n dka*fIulftn
Pers nay
State of Florida
Type of Id nti i a(i • of Florida
%�IrState
Type f I ntifica ion
Produ ed l�
Comm# HHOS7667
Produced ommN HH0876i7
res 2/1/2025
xpires 2/1/2025
(Signatur of Notary Public- State of Florida)
(Signsk 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
Rev. 5/b/ZU
LUCIE WORKS
Sectloh- D (Steep Slope System
f
.R!�! L
Roof System Manufacturer. 6r k lt�_no_
Notice of Acceptance Number: V
Minimum Design Wind Pressures, If Applicable (From RAS 127 orCalc4tions): ci.33—
Zone 1:�one 24a•done 2n.eftzone 2r-a-12one 3e. " one 3r:
Deck type:
Type Underlayment Tb 0,A C =T
Roof. Slope:
121 Insulation:
Fire Barrier: /74.
Ridge nrltti an! Fastener Type & Spading: 4_1 "D"D
Adhesive Type,
Type Cap Sheet
L
Meah Roof Height: Roof Coveting: Hay) z
Type & Size Drip
Edge,
tLUCIE WORKS
Master Permit No.
Contractors Name: Oaf,'
JobAddress L "' 0
i
Section A (General Information).
Process No. i
1 f) License #
V6A �4
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles
❑'Asphaltic Shingles y``CJ Metal Panel/Shingles ❑Wood Shingles/Shakes
❑ Prescriptive BUR-RAS 150
ROOF ROOF TYPE.
O New roof ❑ Repair ❑ Maintenance —"`b Reroofing ❑ Recovering
ROOF SYSTEM INFORMATIC",
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.
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