HomeMy WebLinkAboutAPPAll APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0
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: Sq> IZ
Address: SS LZ 6 CDeaqv-e( p-_ tt i��•-L2 ?�j��Z
Property Tax ID #: Lot No. I-1
Site Plan Name: Block �rYlSGtI tom. N(off
o.
Project Name: �Gtt P�r✓�c� J rSon
DETAILED DESCRIPTION OF WORK:
'1''t4:1Z o-il rtoc)C-lu c(ecY__ ijOou2,- w/ 14o Oam �Y;d i► �y%S
r-L,-?O-2) tCD
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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 31
Cost of Construction: $ IIA� IoSG'�'
_ Generator
_ Windows/Doors Pond
Sq. Ft. of First Floor:
✓Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NamJ-_'C cL &Fb � �Yl�y'�
Name: Caleb Cross
Address: SSID
Company: Florida Premier Roofing
City: State:'rP .
Zip Code: '.x4G 2; Fax:
Phone No. �-) Z- 332- bq3� E-
Address: 1027 Coletta Dr.
City: Orlando State: FL
Zip Code: 32807 Fax:
Phone No 833-354-3577
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail PgrmitCa)Flpremierroofing corn
State or County License CCC1332129
•• - -1 v• ua,a — a La v VI IIIUIC, d nrt umucu tmouce or Lommencement is requirea.
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
Name: _
Address:
City: _
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable I BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
Zip:
Phone:
UWNtR/ 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 vnur NntirP of CnnnmPnrAr„Ant
Sign atur caner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF OV 0CJP
Sworn to (or affirmed and subscribed before me of Physical Presence or Online Notarization
this %day
of 2022 by
Name of person making statement.
Personally Known "� OR Produced Identification
Type of Iden ification Produced
— (6VF
(Signature f N tary Public- State of Florida)
Commission No.�Q(k`(Seal) MONICA M. TORRES
'2o,�avoyc.
Commisslor, # IN 166950
=."; . Qo •' Expires August 19, 2025
Bonded Thru Troy Fain insurance 800.385.7019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
-
COMPLETED
Rev 5 2 1
■
ST. LUCIE 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
Concrete or Clay Tile
A, B, D
1,2,4,5,6,7
A, B, D, E
1,2,3,4,5,6,7
Metal Roofs
A, B, D
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 Roof1nfoFeb21 Rev Feb 18, 2021
ST. LUCIE WORKS
Section A (General Information)
Master Permit No,
Process No.
Contractors Name: C�('��i7 �S License # 13 taq
Job Addressl
❑ Low Slope
❑ Asphaltic Shingles
❑ New roof ❑ Repair
Low Slope Roof Area (SF)
ROOF CATEGORY
❑ Mechanically Fastened Tile
❑ Metal Panel/Shingles
❑ Prescriptive BUR-RAS 15C
ROOF ROOF TYPE_
❑ Maintenance
ROOF SYSTEM INFORMATION
Steep Sloped Roof Area (SF) _
❑ Mortar/Adhesive Set Tiles
❑Wood Shingles/Shakes
[Reroofing
❑ 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: \ �—v ('2tvl
Notice of Acceptance Number: 'PL— 3 \0
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: 1, 1
�J
Type Underlayment: ��j y p7L _ )�
Roof Slope: UA
12 Insulation: !�
Fire Barrier:
Ridge Ventilation? Fastener Type & Spacing:
\ Adhesive Type:
Type Cap Sheet:
Mean Roof Height: j Roof Covering:�n 1�
Type & Size Drip
Edge: