HomeMy WebLinkAboutBUILDING PERMIT APPLICATION ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
1/19/2022 Permit Number: 5A1
RECEIVED
e
•-- ___ � _-_ Building Permit Application JAN 2 6 2022
Planning and Development Services St.Lwolo 069nty
Building and Code Regulation Division PeARIHO,,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial �_ Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5807 ORANGE AVENUE, FT. PIERCE, FL 34947
Legal Description:12 35 39 W 75 FT OF S 125 FT OF N 158 FT OF NE 1/4 OF NE 1/4 OF SE 1/4-LESS AS IN ORD TAKING CA
#82-98-05-(0.18 AC R 772-597:827-1432:881-608:957-2013:1609-1362;3107- 07) / 5807 ORA G AV . FT.PIERCE,FL34947
Property Tax ID#: 2312-411-0004-000-4 Lot No.
Site Plan Name: Block No.
Project Name: DENNIS SCHMIDT
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPAIR AND RECOAT OF EXISTING SPF (SPRAY APPLY POLYURETHANE FOAM) ROOF
SYSTEM
CONSTRUCTION INFORMATION:
Additional work to e performed under this permit—check a apply:
E1HVAC 0 Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers El Generator Fv-] Roof FLAT Roof pitch
Total Sq. Ft of Construction: 2,400.00 S . Ft.of First Floor:
Cost of Construction:$ 2,400.00 Utilities:Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DENNIS SCHMIDT Name: EUGENE WHITING
Address:5807 ORANGE AVENUE Company: WHITING CONSTRUCTION, INC.
City: FT. PIERCE State:FL Address: PO BOX 1908
Zip Code: 34946 Fax: City: PALM CITY State:FL
Phone No. 772-223-1215 Zip Code: 34991 Fax: 772-223-1215
E-Mail:wci@whitingconstruction.com Phone No. 772-223-1215
Fill in fee simple Title Holder on next page(if different E-Mail: wci@whitingconstruction.com
from the Owner listed above) State or County License: CCC 033699
If value of construction is$2500 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.
Signat bff Contractor-or-Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF Martin
Sworn to(or affirmed)and subscribed before me of X Physical Presence or Online Notarization
this 19th day of January ,202 by
Eugene Whiting
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- to of Florida)
Commission No. (Seal) 'y" An of F
' My convoseion HH 04M8
Expires 1=41=4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 10/12/21