HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLIBLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: • Z o - d a I Permit Number:
LUrCHL a
—3. r
r 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 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address 1-1d 4 YORi L- GT
Property Tax ID #: 24;,7 0) ` 0021- 0 J 0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
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Lot No.�
Block No. J�
ANO 242 6,q V 6 r 5Y M 5�7A L 126ar 1' Y .S 70M
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ �� Sae)
_ Sprinklers _ Generator Roof Z )1v 1 Z Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name TAPR- LLC
Name: V-ir N F_
TZEVEj
Address: C3 M A9AfAI10A
Company: Mjf7L0¢IIDR
P-.00rIN6
60AJ
City: ] o(ul F) E 2 Gx State: Ft-
Zip Code: 13 i4ri SB Fax:
Phone No. E-
Address: 5'100
4 3'4 A U S L, I'Z --T
City: A 20 EA
Zip Code: 32 `! Lp
Phone Noll Z -
t %+
Fax:
45-3 -
Stater
--T-Z
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail `S MJf 1 T oo¢; ng
State or County License CCC
I S Z 5 q (
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 conflicts with n. applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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, walks, 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
en er or an attorney before commencing work or recording your Notice of Commencement.
Signati ire of Owner/ Less e/Cont actor as Agent for Owner
STAT OF FLORIDA
COUNTY OF1�
Sworn to (or affir d) and s bscribed before me of
Physical Presence or Online Notarization
this3Q day of 20 by
Name of person making statement.
Personally Known \�C OR Produced Identification
Type of Identification Produced
c
(Signature of Notary Public- Statk of Florida)
Commission No9�'�CJ'A t (Seal)
II.&rf Notary Pubi'CState
,tQ ofFlorida
H Esty
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LaT� C'en
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev 5/21J/Z1
ST. LUCIE WORKS
Section C (Low Slope Roof)
Fill in specific roof assembly components and identify
manufacturer
(If a component is not used,
identify as "NA")
T O System Manufacturer: L\4
Product Approval No.: irL �05� �'a-UF
W-2D-1) F�30,2
Design Wind Pressures, From RAS 128 Or Calculations:
Zone 1': 1``}Zone 1: _UA Zane 2_4ytZone 3:_01
Max. Design Pressure, from the specific product approval
system: ---go
Deck: `1
Type: ? 0'
%z Gauge Thicknei�:
Slope:! Z "
Anchor/Base Sheet & No. df Ply(s):
Anchor/Base Sheet Fastener/Bonding Material:
Insulation Base Layer: NJ
Base Insultation Size and Thj:kness:
Base Insulation Fastener/B ding Material:
Top Insulation Layer:
Top Insulation Size and Thickness:
Top Insulation Fastener/Bonding Material:
Base Sheet(s) & No. of Ply(
Base Sheet Fastener/Bondirig Material:
Ply Sheet(s)' & No. of Ply(s)-.
Ply Sheet Fastener/Bonding Material:
Top Ply: 15 4� —5A 2P S
Top Ply Fastener/Bonding Material:
Surfacing: 1,(J f �-J. 6, R A r,�V L_,Ir!,
Fastener Spacing for Anchor/Base Sheet Attachment:
Zone 1':^"
oc @ Lap, # Rows
@ moo
Zone 1:—"
oc @ Lap, # Rows
@ "oo
Zone 2:—"
oc @ Lap, # Rows
@ moo
Zone 3:—"
oc @ Lap, # Rows
@ woo
Number of Fasteners Per Insulation Board: N A
Zone 1': Zane 1: Zone 2: Zone 3
Illustrate Components Noted and Details as Applicable:
Woodblocking, Gutter, Edge Termination, Stripping,
Flashing, Continuous Cleat, Cant Strip, Base Flashing,
Counterflashing, Coping, Etc.,
Indicate: Mean Roof Height, Parapet Height, Height of Base
Flashing, Component Material, Material' Thickness, Fastener
Type, Fastener Spacing or Submit Manufacturers Details that
Comply with RAS 111 and Chapter 16..
FT. O/
Dt�1�E ��NS
Parapet
Height
SQ5e5A c AP
FT.
Mean
— Roof
Height
�► Mjt5� P 2. S x 2 .s
Za 6 \)6C'�
VOC
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