HomeMy WebLinkAboutBLDG PERMIT APPLICATION = 7102 WINTER GARDEN PKWYAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3F_r , 30 ' "za-a I Permit Number:
goo F1UC DC
;A
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: �- �!�° I 1 L 6-A2� r� Y-W
Property Tax ID 4: l �� !D Lot No.
Site Plan Name: Block No. W?
Project Name: fZ� - YZO d Ff
DETAILED DESCRIPTION OF WORK:
200I We i H New 29".97rAofowa 4Se,4m
/�Cr-FAL
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 _ Sputters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator " Roof N 1 Z Pitch
Total Sq. Ft of Construction: 3- oao Sq. Ft. of First Floor:
1 I
Cost of Construction: $ L;?i Utilities: _Sewer _Septic Building Height: /
OWNERAESSEE:
CONTRACTOR:
Name !At`I e WALLLFKL_
Name: My F[.'J2j9VA 2J0r/X
Address: I )Z 0(-W�
Company:
Address: h J * 7
City: i72 i PIz_-/Zc-c State: _
Zip Code: 3A Ck57'I Fax:
Phone No. E-
City: VL 1g4 )SEA( %-I State: �-
Zip Code: ;32`I Lo _ Fax:
Phone No -77 2 7 Z /-I
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail L `{ 1 ro C'
State or County License Cc 3 z
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:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
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 any 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, 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
improrn
is to your property. A Notice of Commencement must be recorded in the public records of St.
L unt and posted on the jobsite before the first inspection. if you intend to obtain financing, consult
i fe or an at tr�ey�efore commencing work or recording your Notice of Commencement.
Signat irrof Owner/ Lessee tracta as Agent for Owner
STATE OF FLORIDA
COU TY OF
Sworn to (or affirmed) and subscribed before me of 4LL_ Physical Presence or Online Notarization
this day of�20J-L by
Name of person makinTstatement.
Personally Known W OR Produced Identification
Ty(p/e of Identifications Produced
\CI In �t/L1 r, .ir� \'�4 � - ;4";L
(Signature of Notary Public- State of Fil
Commission Note, 0!o -lq (seal) State of Florida
Esty
a:9
ion GG 908479
/2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21
ST. LUCIE WORKS
Section D (Steep Slope Roof System) �1
Roof System Manufacturer: r `fS� ' 8 � L L A /\-/ 6 it
Notice of Acceptance Number:
FL 2-'�=5d,), f'l
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
Zone I: Zone 2e: Zone 2n: Zane 2r: Zone 3e: Zane 3r:
Deck Type:
Roof Slope:
Type Underlayment ID W V E ?- J � (- i L
�• f 2
Insulation: �JA
Fire Barrier: NSA
Ridge Ventilation? Fastener Type & Spacing: � p� �� " 0 C-,
Adhesive Type: pK
Type Cap Sheet WA'
Mean RoofHeight: - 1 - Roof Covering;
Type & Size Drip
1, 5 X- 7
Z 4- GA t! G
V>\jL L- No r
Noe\ILcv 1" 0 C
1/1q I r2iN6 SHAML
ST. LUCIE WORKS
Section A (General Information)
Master Permit No.
Contractors Name: Z+ Ni 'r License #
Process No.
C'_C'-C_ 1 3 Zt. 5--bo
Job Address 1 t1✓Idylc+2 Ai'Zt7cav' ;`1V.�
;TiI�I���eri7:�
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles
❑Asphaltic Shingles XMetal Panel/Shingles ❑Wood Shingles/Shakes
❑ Prescriptive BUR-RAS 150
ROOF ROOF TYPE.
❑ New roof ❑ Repair ❑ Maintenance Xleroofing ❑ Recovering
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) 3�i 1 Steep Sloped Roof Area (SF) '7 g Total (SF) 2 i �
1 pN .iZ �1'1Ci� 5 1"1 iZ P nc vv
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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