HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: --23^ Permit Number:
L L1:1
Building Permit Application
Planning and Development Services /
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: ,ino'�v1L
PROPOSED IMPROVEMENT LOCATION: "
Address: I D v,\ �7- " r~ 3 gi,�
Property Tax ID#: 23oS- Soon onot - 0oo- 3 Lot No.
Site Plan Name: Block No. A
Project Name:
DETAILED DESCRIPTION OF wbRK:
Dl.�ty►5 irc�cw.i„t71,.r.�.��o.n 1f�d /4 21- DSi �. p 5�
isNo k - o::tofo-O00-
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:' ��,i` x
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 Pitch
Total Sq. Ft of Construction: 3, i00 Sq. Ft, of First Floor: 5,1,vo
Cost of Construction: $ � /3 3 00 Utilities: _Sewer _Septic Building Height:
C0 k RAC%JR
Name 4r(�z 5 T-e,c '
Name: ff t�.v)
D t
Address: 17,10
Company: Rohe V,�',i1
L
City: ZT, ,'fre e-
State:L
Address: 3 L;� �'u
1 r �cucS j
Zip Code: 3g9g5 Fax:
city:
State:�L
Phone No. '270- — 3 3a- - 2 (6
Zip Code: 33 S/
Fax:
E-Mail: S j4co,4t ✓ti Kft.
a
Phone No 3
Fill in fee simple Title Holder on next page (if different
E-Mail
Sn7L FL .c
from the Owner listed above)
State or County License
3
-- �. UL.W11 is Lauu or more, a rctGunucu rvaz' o� a vmmencement is required.
If value of HAVC Is $7,500 or more, a RECORDED Notice of commencement Is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY: ✓Not Applicable
ESIGN
Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: 4ot Applicable
Name:
Address:
City:
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 represerltation that is granting a permit sill authorize the permit holde to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants It 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 exemptfrom 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 4WSb6rQQQ11
Sworn to (or affirmed) and subscribed before me of y Physical Presence or Online Notarization
this �' may of V 20f2) by
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
(Sign Nota ublic- Sfkig'of Florida )
Commission No. }ilk MaI13 7 (Seal)
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
FRONT I ZONING
COUNTER I REVIEW
Y
Notary Public Slate of Flonoa
Jennifer f2 HopperMy Commission HH 067197
Epees 1112W024
SUPERVIS
REVIEWOR I REVIEW I V RE EWON S EV EWLE M EVl WVE
PLANS
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ST. LUCIE WORKS
Section D (Steep Slope Roof System)
Roof System Manufacturer:
Notice of Acceptance Number:
.pY
Minimum Design Wind Pressures, If Applicabte (From RAS 127 or Calculations):
Zone 1: Zone 2e:0"� Zone 2n: Zone 2r: Zone 3e: Zone 3r.
Deck Type:
Type Underlayment O N rT-ozbb• X
Roof Slope: °
7 12
Insulation:
Fire Barrier:
Rid - 01.111t p a Ventilation?Fastener Type & Spacing:
Adhesive Type:
\ Type Cap Sheet �� d- .5-k t.-
Mean Roof Height: 1 \Roof Covering: �I
Type & Size Drip IL.,�
Edge:
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ST. LUCIE WORKS
Section A (General Information)
Master Permit No. Process No.
Contractors Name: e_ e License Hcrj{l _s 0 C.22!�l
Job Address /72o f-oejx L.&n ZT7/oitrtc.Cc J;ygVs
❑ LL Slope
❑ New roof ❑ Repair
Low Slope Roof Area (SF)
ROOF CATEGORY
❑ Mechanically Fastened Tile
❑ Metal Panel/Shingles
❑ Prescriptive BUR-RAS 150
ROOF ROOF TYPE.
❑ Maintenance
ROOF SYSTEM INFORMATION
Steep Sloped Roof Area (SF)
❑ Mortar/Adhesive Set Tiles
❑Wood Shingles/Shakes
❑ Reroofing ❑ Recovering
Total (SF) c'00J
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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MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE 4 4907340 OR BOOK 4664 PAGE 1051, Recorded 08/11/2021 09:36:28 AM
,''` NOTICE OF COMMENCEMENT
Perms[ No. Property Tax ID No.9�0'� iJ�a - 0D08"-pOD-'J
State of Florida, Courtly of St. Lude
The Underdlgned hereby Riven notice that Improvement will be made to certain real property, and In accordance with
Chapter 713, Florida Statutes, a w following Information is provided In ibis Notice of Commenctawnt.
Legal DescriplJon of property and address If avaliable '�7) S /
Bi-
General description of improvements
Owner/leme
Address '
Interest In property: A,,v►e. STrt
Fee Simple 'Gibe holder (If other than owner)
Address
Contractor phone Ir . �� •3 -f [J ` �� --
Address 1/.33 C k!'% P�rtr r Cr 15 i Re.l- Fax f
Surety Phone 0
Address Fax I
Arnoant of Ilond
Leader Phone;
Address Fix I
Persons within the State of Florida designated by Owner upon whoop notices or other documents amy be served as provided
by Section 713.13 (a) 7.,Florida Statues:
Name Phone 3'
Addre m Fax t
In addition to himself, owner designates of
Phone # Fax 0
to rective a copy of the Limor's Notice as provided In Section 713.13 (1) (b), Florida Statutes. Expiration date of notice or
commencement is one year from the date of ret»rdlog unless a different date is specified. WARNING TO OWNER:
AVY PAYMENTS MADE BY THE OWNER AiTEX THL EXPIRAMN OP 'ME NOTICE OF COMMENCEYttYr ARE CO,4 S:DI'QFn tJ1PROPE1i
PAYMENTS LLINDER C11.713.t3. FS, AND CAN ILF ULT N YOM PAYLVC TWICL. FOR NmOv Lmr.VTS TO YOUR PROPERTY. A NOTICE OF
CO%T titE NCEMV-%`T MUST BE RECORD W AND POSTED ON THE,IOB SITE BEFORE THE FIRST INSPEL-nOY.1F YOU rnF-1'D TO OBTALY
rL1.t_CLVL'i. COjSULT WMI YOUR M-14DER OR AN ArMR-%"LY BFWORL CONM04CLVC WORK OR REMADNG, YOUR N;OT14 OF
CO3'I\ir--vC,%M1rr. ty e
'r7 r �G.ta..r� r 7 AAWOC ^
Awarr/Leraer, Ovna'r Or L.KSN'i AYtharls�d OtCcerlD3redari>�,riaRRylaaL`tf151�'nIIhu!
� Straatary'a 11fie1Ottire
State of Florida, County of
Acknowledged before me this r-, ILA , day of 5 s yT 20 2� L•, by
whoLwAo" to me or who ha_s produced as identifirstioa.
nature Type or Print Name of Notary (Seal)
Title: Nntu� i ti ►t*Iit• Cotn mission Number. 6 G 71q ;10
'P..V' ft Maary A.bl-e SAw• or a,va.
JenMei R Hopper
uY Cam iman tag 061 toi
; O,, ' E,p+ai TV29.202a
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