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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I�� 2 , Permit Number: 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: PROPOSED IMPROVEMENT LOCATION: Address: © , z Property Tax ID #: 1 - Lot No. i_ Site Plan Name: V Project Name: j ,N � Block No. A DETAILED DESCRIPTION OF WORK: <�_ e, er� < e� r, C-Ck\-'-e. 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 Roof Pitch Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: l,n Name `1 Name: 1-�''. Address: �C.�� ,.'ii'Iz Y' Company')^. C) P6 e(✓s City: )ri - State: b — Address: , '5 4 Zip Code: Fax: _'11 City:���r' iState: Eill PhoneNo.?7-)-a1(-e- 15q 3 E- Zip Code 3�54S Fax: Mail:.C.a ' a ��I')'1 Phone No L � - 9Y Fill in fee simple Title Holder on next page (if different E-Mail s e17 ; Y10 CX)rn from the Owner listed above) State or County License C C 123 J Y 7,2— 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 Applicab Name: Address: Lity: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _�f_ Not Applicable Name: Address: City: Zip: Phone: DWNER/ CONTRaf•TnR Atcin,mr. MORTGAGE COMPANY: �Not Applicable Name: Address: city: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable - -- - - I lltnuuy mace to ootain 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 voi, intend to nhtnin U�l U1 011 aLwrney Derore commencing work or recordin Signature rector - or - Owner Builder as applicable STATE OF FLORID COUNTYOF Sworn to (or affir kedland subscribed before me of physical Presence or this day of Kk*�b(_�— ,gyp -AI by F/ " t15 e3 Name of person making statement. Personally Know OR Produced Identification Type of Identjf' anon Produced (Signa`ure of Notary Public- State of Florida) Commission No. 1414 03 -D-77(Seal) REVIEWS FRONT COUNTER DATE RECEIVED DATE COMPLETED ZONING REVIEW Notary Public Stria of Fld'KW ? Carmen M Quinones d "�` corrarnissioi+ MH oaa2rr p Expires 02/15/2025 .............. b, ..... 1-L Notice of Commencement. Online Notarization UPERVIS S REVIEWOR REVIEW VREV EWON I S REVIEW EGETATIEATURTLE I MANGRO REV EWVE ST. L CIE WORKS Section A (General Information) Master Permit No. Process No. Contractors Name: License # ccL ) 3 _3 Job Address 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 '�(Reroofin g ❑Recovering ROOF SYSTEM INFORMATION _ Low Slope Roof Area (SF) Steep Sloped Roof Area SF r� ( ) � � � Total (SF) j 7V A 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 Section D (Steep Slope Roof Roof System Manufacturer: Notice of Acceptance Number: c 3C)q -- V Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): Zone 1:---[ I Zone 2e:`I %Zone 2n!:21—eZone 2r:-EZLZone 3e:.%-..,'---'one 3r: Roof Slope: 12 Deck Type: Type Underlayment: Insulation: UIA Fire Barrier: Mean Roof Height: S Fastener Type & Spacing: I #1� �i �� Ei� vC' Adhesive Type: L O IA \ Type Cap Sheet: I J Roof Covering: I 1i S Lna � Type & Size Drip Edge: `