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HomeMy WebLinkAboutBUILDING PERMIT APPL LOW SLOPEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �22Q (— G 1 .7 9 • �,_,. Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 300 1lo1lV Ave Pocf 'Jt l<) 6 , -F L 34-9 5 a Property Tax ID #: 3 4t f g - Sic) •- 0260 - 000 - i Lot No. Site Plan Name: Block No. Project Name: 300 i-lo I t u Ave j; _ DETAILED DESCRIPTION OF WORK: R-e- P-OOf CC1P Shee.{ Pi-i-ch (�:ia CQ14C,6 f\ eed f' odiit e.d 0i-iui-NAep e—(X SS; S- CM tL z ' -3 1P a New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: Mechanical Electric _ Gas Tank _ Plumbing Total Sq. Ft of Construction: I0. 59 Gas Piping Sprinklers _ Shutters _ Windows/Doors Pond _ Generator ✓ Roof 0 � i 2 Pitch Sq. Ft. of First Floor: Cost of Construction: $ 3 , oo Q Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Pcor Uc)ruhtn Name: - tccizop_t (uiiivcu.-(i nG / Company: F\Q Aduot Crvpfh Address: �3or) oi(c� Avg City: F0 (1 S1, (t) a c State: E L_ Zip Code: 3Ucf �, Fax: Phone No. 860 5 D-0 `( E- Address: T:_c j r1 aA Eland A v-e City: A dwYlbftfe J?r z f193 Zip Code: 3 2 7 of Fax: Phone No ¢07 - f 7G --1157 E-Mail adoiv\ F ruzrer cvnfic�e r; n<j State: TL •cork Mail: mczmasfr &hK(�7 cs - cc)m Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License CC C -1-3 a1f 70 -- ------ ----••--• _.__._..... ........ ... ... w—Y c..­a Aww wvaN.0 U1 %-U111111enGemenl is requlrea. 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 MORTGAGE COMPANY: X Not Applicable Name: _ Address: City: _ Zip: Phone State: Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: V 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 IPnriPr nr an attornev before commencinia work or recordini; vour Notice of Commencement. Signature of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF ora R5E Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 1, day of i elb 20 77. by Name of person making statement. V ,�PRVPue o a `'"'` LINAMARIAGOMEZ Personally Known OR Produced Identification Commission#HH076897 Type of Identificati�Prucec( / N Q 9rFOFF�o�a Expires January4,2025 Bonded Thru Budget Notary Services a re Notary u lic- State of Florida) Commission No. U PO 1 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 10/12/21 Section A (General Information) Master Permit No. -2-1e I _ 0 t --�cj Process No. Contractors Name: TVGZ i'ei Cc 0iiccii nq License # C C C j 3 3 4 7,S Job Address - OL% +)0I IN Lie Pu(+ Si ivciE l 3 f-G52 ROOF CATEGORY 0 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 Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) 10 • bcf Steep Sloped Roof Area (SF) Total (SF) W. �1 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. v I i t � I � i I I � I k Section C (Low Slope Roof) Fill in specific roof assembly components and identify manufacturer (If a component is not used, identify as "NA") System Manufacturer: Cer•lain Teed Product Approval No.: fi L 2 533 •- i 2 5 Design Wind Pressures, From RAS 128 Or Calculations: Zone 1': Zone 1: Zone 2: Zone 3: Max. Design Pressure, from the specific product approval system: Deck: Type: q../a P)Swcod Gauge Thickness: 1 % Z- Slope: O Y 1 -2- Anchor/Base Sheet & No. df Ply(s): NI -A Anchor/Base Sheet Fastener/Bonding Material: ov 1A Insulation Base Layer: �► i A Base Insultation Size and Thickness: W i--A Base Insulation Fastener/Bonding Material: Top Insulation Layer: N Top Insulation Size and Thickness: N /A Top Insulation Fastener/Bonding Material: �J 1A Base Sheet(s) & No. of Ply(s): t L L 5 a3 - P-a.5 Base Sheet Fastener/Bonding Material: Cerlc�;rl7eed / Adhesive. Ply Sheet(s)' & No. of Ply(s): N / A Ply Sheet Fastener/Bonding Material: N rA Top Ply: ) h Top Ply Fastener/Bonding Material: N Surfacing: Cc, P S he 21- Fastener Spacing for AnchorZ&se Sheet Attachment: Zone 1':_." oc @ Lap, # Rows @ "ec Zone 1:—" oc @ Lap, # Rows @ "oc Zone 2:—" oc @ Lap, # Rows @ "oc Zone 3:—" oc @ Lap, # Rows @ "oc Number of Fasteners Per Insulation Board: Zone 1': Zone 1: Zone 2: Zone 3 Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counterflashing, Coping, Etc., Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material' Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16.. & -+