HomeMy WebLinkAboutappAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � a�� Z i Permit Number:
S�lio L'y( 1- LL
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a r Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential )C
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: R
I C tf
PROPOSED IMPROVEMENT LOCATION:
Address: 2. 01 Me 1-ton dY- fn& Pk f. u rL 3 8Z
Property Tax ID #: 3y '03- $Q S - Lot No. 13
Site Plan Name: Block No.
Project Name: f" UIS C2 Q Qra�
DETAILED DESCRIPTION OF WORK:
F t CN(j, kA3t+h rJVOCAS
FL-10 ul
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 _ Sprinklers _ Generator X Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ ZS, U C)(). Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name UV1 & haeC I Cl
Name: Caleb Cross
Address: 2,01 M Vino cue-.
Company: Florida Premier Roofing
City: EOP Ir' fDtCe- State: E'L
Address:1027 Coletta Dr.
Zip Code: 3V y— Fax:
Phone No. 1 -7 -- S M - '7 B'7 1 E-
City: Orlando State: FL
Zip Code: 32807 Fax:
Mail: W j SICA /��A-J2d1�ii J e �rn
phone No 833-354-3577
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Permit anFlpremierroofing com
State or County License CCC1332129
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 MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
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.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
���
COUNTY OF�� (
Sworn to(or affir!�ed) and subscribed before me of Physical Presence or Online
day 2QL by
Notarization
this _kl,:,— of
Name of person making statement.
Personally Known OR Produced Identification
Type of ldentificati duced
(Signature of N ublic- State of Florida)
4pYP KATHERINEJ.ARIAS
Commission No_ (Seal) Commission#HH161806
Expires August 5, 2025
"`FOF F4°Q� Bonded TMu Troy Fain Insurance 800385-1U19
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ST. L.UCIE WORKS
ST LUCIE COUNTY ROOFING PERMIT INFORMATION SHEET
Florida Building Code 7th Edition (2020)
Based on Section 1525 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
1,2,4,5,6,7
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
ST. LUCIE WORKS
Section A (General Information)
Master Permit No. Process No.
Contractors Name: CCLi (. UOSsli r1 _re ip whn&nse # C,C,C 1 153 ZI Zo
Job Address G42.. Foe_+ �f 12,C{ RL -2/40 ` 2-
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles
❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑Wood Shingles/Shakes
❑ New roof ❑ Repair
Low Slope Roof Area (SF)
❑ Prescriptive BUR-RAS 150
ROOF ROOF TYPE„
❑ Maintenance 1%Reroofing
ROOF SYSTEM INFORMATION
Steep Sloped Roof Area (SF)
❑ Recovering
Total (SF)
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.
ST. LUCIE WORKS
Section D (Steep Slope Roof System)
Roof System Manufacturer: Ow U 's c o t `na
Notice of Acceptance Number: {—L— ( mo -)L4
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
.Zone 1: Zone 2e: Zone 2n: Zone 2r: Zone 3e: Zone 3r:
Deck Type:
� d
Roof Slope:
TypeUnderlayment:
�,
-�' 12 Insulation:
Fire Barrier: )VIA
Ridge Ventilation? Fastener Type & Spacing: uoc,
Adhesive Type: �l
f
\ Type Cap Sheet: A
Mean Roof Height: Roof Covering:
Type & Size Drip
Edge: -