HomeMy WebLinkAboutLongo Shed Permit Application.pdfLUcl!
CoUk�-1, ST. LUCIE
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ST LUCIE COUNTY ROOFING PERMIT INFORMATION SHEET
Florida Building Code 7th Edition (2020)
Based on Section 1S25 of the Florida Building Code - Building
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING SHEET
APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED
BELOW:
Roof System
Required Sections of
the Permit Application
Form
Attachments Required
See List Below
Low Slope Application
A, B, C
1,2,3,4,5,6,7
Prescriptive BUR-RAS 150
A, B, C
2,4,5,6,7
Asphaltic Shingles
A, B, D
1,2,4,5,6,7
Concrete or Clay Tile
A, B, D, E
1,2,3,4,5,6,7
Metal Roofs
A, B, D
1,2,3,4,5,6,7'
Wood Shingles and
Shakes
A, B, D
IA4,5,6,7
Other
As Applicable
1,2,3,4,5,6,7
ATTACHMENTS REQUIRED As Applicable):
1.
Fire Directory Listing Page
2.
From Product Approval:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3.
Design Calculations per Chapter 16, or if applicable, RAS 127 or RAS 128
4.
Other Component of Product Approval
5.
Municipal Permit Application
6.
Owners Notification for Roofing Considerations (Reroofing Only)
7.
Any Required Roof Testing/Calculation Documentation
Form RooflnfoFeb21 Rev Feb 18, 2021
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 101;21' a I Permit Number:
u c c c L ct� 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:
V
I PROPOSED IMPROVEMENT LOCATION: I
Address:
Property Tax ID B:
Site Plan Name: _
Project Name: I
sAW�M
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Lot No. e
Block No.
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: ,2000 Sq. Ft. of First Floor: .260
Cost of Construction: $ c/q 3 2• Go Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
0/I 0a
Name: h
Address: t 1/R An'ecAi'YI -DnVb
Company: ()h r
I (I Q,
City: /f e¢-rce- Stater
Zip Code: - lQM2 Fax:
Phone No. YI E-
Address:9,27nSE &—CA r CtkP.
City: iVrf(� State:
Zip Code: Fax:
Phone No .� 2a3 0�
Mail: 1S", agnn��4X/-1iPs &OZ"L20
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail i% O I' O n Ca/--7
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.
SUPPLEMENTAL. CONSTRUCTION LIE W INFORMAT N:
DESIGNER E of Applicable / pP
MORTGAGE COM !I ili Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: te:
Zip: one
Zip:
FEE SIMPLE TITL a
BONDING COMPANY: Not Applicable
Name:
Addre�
Address:
City:
City:
Zip:
Zip: Phone.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obt'dbermit to dothe4ork 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 attornev before commencine work or recordinLy your Notice of CommenrpmPnt_
/--)0.
Signature f Own see Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF I�C'�i 11
Sworn to (or affirmedLand subscribed before me of t PhY sical Presence or Online Notarization
this day of 20_Q by
Name of person making s ement.
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
nev a/ cv/ c t