HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAI'11 APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7 <��i�� Permit Number:
I? E c E, E c -- - Building Permit Application
Planning and Development Services
illuilding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
I''ERMIT APPLICATION FOR:
Commercial
CBDG Funding
Residential X_
i'_'ROPOSED IMPROVEMENT LOCATION:
Address: v S !4- t i--)4L
Property Tax ID #: .--� %j _mac_ (D— 0 Lot No.
Site Plan Name: Block No.�
Project Name:
I:)ETAILED DESCRIPTION OF WORK:
iE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
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 60 ,LPitch
Total Sq. Ft of Construction: 1��{{/J�� (/1t� 5 Sq. Ft. of First Floor: 1 13T
Cost of Construction: $ ,� , V �� Utilities: —Sewer _ Septic Building Height: -S/(.
O'iNN ER/LESSEE:
CONTRACTOR:
Name
Lti'
Name:
Compan . f.-
Addre s: �BFRq M AZS —Q--
City: State:-- -
Zi a Code: ` Fax:
Phone No. ��� "c -l� �A E-
Address:
City: g State
Zip Code: j jol Fax:
Phone Norr ry
- ail I � (S'J�5 L ! o .
i
Fife I in fee simple Title Holder on next page (if different
from the Owner listed above)
Stat r County License_
It 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 App
Name: _
Address:
City: _
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
(:ity:
7.ip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:
Zip: _
Phone:
_ Not Applicable
State:
Not Applicable
O'INNER/ 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
wh ich 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 =sideration 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 your Notice of Commencement.
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
(%�
COUNTY OF
Sworn to (or affirmed) and subscribed before me of _X Physical Presence or Online Notarization
j<
this day of H 24LL by
f
r ,&) 0 fta
Name of person m king statement.
Personally Known X OR Produced Id ratification
Type entification Produced _
(Si ature of Notary Public- State of Florida)
State of Florida
��, (� xen
Commission No";&__ LY41 /
l (Seal)
RiN
ion GG 24ON6
/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
[)ATE
RECEIVED
DATE
COMPLETED
Kev 1u/12/21
'40Tr I.UIE
Section A (General Information)
Master Permit No. Process No.
Contractors Name: �' �License # �yL `J
Job Addresst
ROOF CATEGORY
D Low Slope ❑ Mechanically Fastened Tile Mortar/Adhesive Set Tiles
I:] Asphaltic Shingles ❑ Metal Panel/Shingles ❑Wood Shingles/Shakes
❑ New roof ❑ Repair
Low Slope Roof Area (SF) "sue'
❑ Prescriptive BUR-RAS 150
ROOF ROOF TYPE_
❑ Maintenance Reroofing
. ROOF SYSTEM INFORMATION
Steep Sloped Roof Area (SF)
❑ Recovering
Total (SF) 19 t( b
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains.
Ir clude dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets.