HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
A RiYU10*0�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 CBDG"Funding
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PERMIT APPLICATION FOR:
°PRDPpSED;IMPROVEMENT LOCATION:'
Address: 2'9'96 fla,C'SDl1
Property Tax ID#: 14 2%9 -7D2--l 39-I ' 060 '/ Lot No. .1S
Site Plan Name: Block No.-s9
Project Name:
1':6ETAILE'D"D';ES"CRIPTIO 'N'OF WORK' '' u
?Q.i'd'dOVC. 4 :Re'g1ba1d-
New Electrical Meter Second Electrical Meter (Affidavit required)
31
CONSTRUCTION'INFO RtIIA`CION
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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 of - Pitch
Total Sq. Ft of Construction: - 3 ,5-J Sq. Ft.of First Floor:
Cost of Construction:$_ m,dUh Utilities: —Sewer —Septic Building Height:
MINER/LE55'EE CONTRACTOR:, µ
0.
Name n Itt'A t0,1 ��7`2 L L C Name - . 0jo c JE'1-
Address: 1Y0 0 r lVt--' A v e- Company:� 200-V;AJ
City: Stater Address: +;4 Yq
Zip Code: 3 3/6 g Fax: City: N kland `.,Lt k State: L
Phone No. 3 d S ^ 62 15/9d E- Zip Code: 3393¢ Fax:
Mail: Phone No-S a� 706 _` 01
Fill in fee simple Title Holder on next page(if different E-Mail n}e('d -t S U!q Mar-k Q! 4 08.
from the Owner listed above) State or County License
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.
5+UF'PLEMENTAL CON5TRUCT(ON L(EN LAW IN,FORMATI{3N
DESIGNER/ENGINEER: _Not Appi' able MORTGAGE COMPANY: _N t Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: one Zip: one:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDINCOMPANY: Not Applicable
i;'
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 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
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.
- �9/ -
Signatur O ner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDAeS _6 0 COUNTY OF G�
Sworn o(or affirmed)ar)d_s-ubscribed before me of hysical Presence or Online Notarization
this /� day of 61 20V by yd�a��O�Eylii�g�df®
R / Np o CN 'Z. "",
Name of person making statement.
Cersonally Known- OR Produced Identification
f 0.2mG 2°4 8®77 3
a Type i ication P ed 5.
'r 9 �?•p°Rded lh��y�i�e
Pmj�/�°• ublic Uncle'
(Signature of Notary blic-State of Florida) 'Fy,�: C.STA��
'=�=yS9436B699aod
Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev
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Section A(General Information)
co®P.P
Master Permit No. Process No.
Contractors Name: So M br i I I 6d f l^ License# LG c_' 1,33 2 /9,6
Job Address 2$ Ral'Soil
ROOF CATEGORY
❑Low Slope ❑Mechanically Fastened Tile ❑Mortar/Adhesive Set Tiles
Asphaltic Shingles ❑Metal Panel/Shingles ❑Wood Shingles/Shakes
❑ Prescriptive BUR-RAS 150
ROOF ROOF TYPE.
❑ New roof ❑ Repair ❑ Maintenance I Reroofing ❑Recovering
_ROOF SYSTEM INFORMATION�nJ
Low Slope Roof Area(SF) Steep Sloped Roof Area (SF) o( 3 Total(SF) Z 3So
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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ROOF ASSEMBLIES-AANb-ROOFTOP:,STRUGTURES`
I FlttJ'r_la Buflarng Cotle 7th 8dition'(2f12t)�°
High-Ueloc fy Hurricane Zone Per
Section cation Ft�rrt
Section D(Steep Slopec! Ruoff systart),
Roof'System.Mahufacturer, GAF
Notice of acceptance. Number;,, 19-0312.04 ;
Minimum Design.Wind.Pssurs,if 4011ca6le.(Frc�m:'RAS i � sr CatculstiOns
,Zone`s:. .:Zone 2e. .Zpne''2n_ Zoney2r- -one 3e, Zone,3r;;
Deck Type; WOOD
_....... ------
Type Unddriayment PLY# 30 FELT _
....... ......
_....__ .... _ insulation I NA
t dire Baxr�er'
I: NA
Ridge MOTi ti ian? fastenerTy,pe u Spai;Ing F 1 5/8 RING SHANK NAILS+TINCAPS
6 LAPS 2 ROWS 12'FIELD
NA --
--- - — .
', Adhssve.Type` NA
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Ty.pe Cap:Sheef.:. NA
Mean Root•Helgbt Rodff.COVB Ing =GAFBERLINE HD
L
I GALV -D.E.
�� � IM GA 3
l4"O.C-.VafL&ILyG SHANK
Edge' NAILS
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