HomeMy WebLinkAboutNorth Parking Garage APPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: jr) U) Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virglaid Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial v Residential
I PERMIT APPLICATION FOR: Roof III
Address:
Legal Des
Property Tax lD#; Lot No.
Site Plan Name: Block No.
Project Name:_
Setbacks Front Back:
Right Side: Left
'S1n.:rAslas t fx'plaiu '-Of G-6m;V15 Se.r�.->-rt riu-4-cd
0HVAC U- Gas Tank RGas Pi
11 Electric Ej Plumbing OSprinl
Total Sq. Ft of Construction:
Cost of Construction: $ Q-7
- UltA11% till apply.
ling 11 Shutters F]Windows/Doors
ers OGenerator Roof Roof pitch
Sq. Ft. of First Floor: 17
Utilities: 0Sewer USeptic Building Height:
Address: jQYj() a iYoa-P, lQy--
City:,�ek-I&O'n State: !L.-
Zip Code: t!Uq6_7 — Fax:
Phone No. :2 -7c) 49a'7- 6,:? 5-7
E-Mail: h tl -V�il ;.<, ) 1'-)IA-t) 16),lin 66'"
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jamie Cisco
Company: Sunshine Roofing, LLC
Address: PO Box 1083
City: Palm City State: FL
Zip Code- 34991 Fax:
Phone No. 772-260-8195
E-Mail: sunshineroofingllc@gmaii.com
State or County License- CCC1327796
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: Po eon =3
City:
Zip: Phone:
MORTGAGE COMPANY: J Not Applicable
Name: ca—
Address:
City: Palm City State:
Zip: Phone:
BONDING COMPANY: _Not 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 representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or ano covenants that 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 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
rommpnrincr wnrk- nr rprnrrlino vnnr Nntira of rnmmPncampnt_
ignature of Own a/Contractor as gent for Owner
Signature of Con or License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF IYIlit4 i r,
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _Z 'day of � C� c_ ke t-� 2Q? I by
this / i"c`l^ay of C,0o kyc t 20 ZI by
Name of person making statement
Name of person making statement
Personally Known K OR Produced Identification
Personally Known' OR Produced Identification
Type of Identification
Type of identification
Produced
Produced
2
, �.
q2,
(SIgn4ture of Nota Pubii ZI
(Sign ure of Notary/�ubiic- st
=c,•. JESSICAKgµPFF
Notary � . kate of Ficride
Commission No. t' a= Corr...... ion y f•h
iiaY %o KAAtPFF
JESSICA
Commission No. a f(�i881�b1ic - 5tate of Florida
106a97
My Comm. Expires mar 21, 2025
enceG through N
?a'1Cnal +rotary
Commission # HIS 106497
✓"y Comm; Expires eta r 2 t, 2025
BOnced through
Assn.
Nat coal Neta rvAsqn
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17