HomeMy WebLinkAboutMID FL CREDIT UNION APPPermit Number:
Building Permit App ication
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: e rvp
PROPOSED IMPROVEMENT LOCATION:
Address: US W S41
Property Tax ID #.. sol 111 (n ��� _ Lot No.
Site Plan Name:
Project Name: NA t �3 �7[6y-A a (
DETAILED DESCRIPTION OF WORK:
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
t` -
Block No.
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N� c� e w o..AA► r. I I'ls C0M
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 _ Wi ows/Doors _ Pond
_ Electric —Plumbing Sprinklers Generator VRoof c Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
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Cost of Construction: $ �al ICI Sewer Septic Building Height: got
OWNER/LESSEE:
Name 1 \/Xt M if + n k
Address:) VP
City:LajQar�cTl✓ State:
Zip Code: Fax: N
Phone No. -1 o CS Gi- E-
Mail: FbLCA I I`I"I�SYP- UPS-F�041-- Id
Fill in fee simple Title Holder on next page (if different Cm
from the Owner listed above)
CONTRACTOR:
Name: Y f kjckc-fL
Company: C- csis cy-\
Address: TM k- Ptne
City: r I� I�i�GE? ` State:�--
Zi p Code: 3 S*t1FPhoneNo 7�02 o� `ftp5-9V
E-Mail �S LState or County License v `7
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:
ER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
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:
n1A11UCD/rf%k1'rOAe^re%n APPIM%01T_ _
--- -��z ..vi. I nr+a.I vn MrrIuvI I : Application is nereby 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 po4ed on the jobsite before the first inspection. If you intend to obtain financing, consult
with lencler2rzo atto ne before com encing work or recordin your Notice of Commencement.
Signature ofZR_I
racto - or - OvIner Euilde s applicable
STATE OFDA _!
COUNTY OF I/LU1 I CW1
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this OSday of QYl 24Dy
v va52�1
Name of person making
Personally Known V OR Produced Identification
Type of Identification Produced
'�`4 n�`aassion�p � ti
(Signature of Notary(PAlic- State of Florida) _� ��` s ; e
Commission No� Seal)
#GG 341,659
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev�721
board pro�jgd
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11
atlantic
construction + roofing
772-465-9700 / 772 -254-0302f
12-20-21
MIDFLORIDA Credit Union
8351 US Hwy 1
Port St Lucie, Fl
FacilitiesRequestTicket@midflorida.com
Proposal:
• Remove existing tile roof down to decking only. Flat roof to remain.
• Replace up to 4 sheets of plywood. Renail to code with #8 ringshank nails. Additional sheets to be replaced
at $105/per sheet. Any additional carpentry work to be billed at $85/per hour per man.
• Install a PolyGlass Tug- Underlayment or equivalent, back nailed every 12
• Install matching accessory metals. (2x2 drip edge„ valley metal) and penetrations flashings.
• Install a custom, 16" 1.5" Premium Color(PreWeathered Galvalume) Kynar 500 Standing Seam Metal Roof,
fastened to code.
• ACI to procure all engineering/permits and remove all construction debris upon completion each day.
• A 5 year workmanship warranty, applicable shingle warranty, will be forwarded upon receipt of final
paymentCl to remove all construction related debris upon completion.
We propose to supply labor and materials for: $ 109,978 00
Price valid for 5 days due to material shortages and availability.
Note. All hazardous work to be done in non working hours, and/or proper securing the area to ensure proper
pedestrian traffic to avoid any injury has been taken into account.
Note: No verbal promises made by any representatives of the company are binding on the company, unless contained in the
agreement.
Terms: This proposal becomes a Contract upon signing. Service will begin when the signed contract and a 50% deposit is returned.
Upon substantial completion of project, the balance is due. Any balance past due (48 hrs) is subject to finance charges.
i'
Jon Ashenback _._.
13.ev—�4vr--
Lie & Ins. 5140 Slash Pine trl. Fort pierce, fl 34951 CBC-0058485 CCC-057852