HomeMy WebLinkAboutBuilding permit appAll APPUCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
� f
Building Permit Application
Planning and Development Services \ /
Building and Code Regulation Division CDmmercial Residential ,Y`
2300 Vrrginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: ft"c
PROPOSED IMPROVEMENT LOCATION:
Address:1`6 0
Property Tax ID *.
Site Plan Name:
Project Name:
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Block No.
Additional work to be performed tender this permit -check all that apply:
_Mechanical _ Gas tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing � Sprinklers _ Generator -� Roof qZ lc�, Pitch
Total Sq. Ft of Canstructiofns:-d 1�� Sq. Ft. of First Floor:l,%r�
Cost of Construction: $ 1 I o Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name t t.
Name: ' C V
Address. I � k ot S
Company. I ut ►' qJ
City: krccll State: LL-
Address: � � lsw' � I S Q
'� Zip Code: 'O C D Fax:
Gty: V `Q(D 6-t, N I �1. State: f L_
Phone No .-1 - c��?� -1 �3'�_ E-
Zip Code: Fax:
Mail:
Phone No rl - `1`1- I
E-Mail M F i 'SIG f dry1
Fill in fee simple Trde Holder on next page (if different
from the Owner fisted above)
State or County Licens
If value of construction is ZSW or more, a RECORDED Notice of Commencement is required.
If value of HAVC Is $7,S00 or more, a RECORDED Notice of Comrn wzment is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address.
Address:
City: State:
City State:
ZIP: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 1 Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
cftT
Zip: phone:
Zip: Phone:
nwa«.. a ...,...� - ---
v —rimy WM I KAL f UK AMOVU: 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 a t+cable Homeowners Associatlon 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 y paying twlce for
improvements to ur roperty. A Notice of Commencement must be recorded in the public records of St.
Lucie County a o on the a before the first inspection. If you intend to obtain financing, consult
with len e c mencinit work or recordinx vour Notice of Commencement.
of Owner
as Agent for Owner
STATE OF FLORIDA
COUNTY OF `
Sworn
_�a (or affirmed) and ;ubscribe�d befoor�e Ye of V Physical Presence or Online Notarization
th Is W day of ��� 20�, b
Person making
Personally Known OR
Type of Identification Produag
(Signature of Notary Public. State of
Commission No. (Seal)
(;R-1W7
RECE
Identification
FRONT I ZONING
COUNTEit REVIEW
i� Notary ?utslk • 5Lto of Fionaa
*y Cantu. I:x w" tiov ], I021
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
SEATURTLE I MANGROVE
REVIEW REVIEW
ST. LUCIE WORKS
Section A (General Information)
Master Permit No. Process No.
Contractors Name: License #
Job Addr ! V 1 S� 5 R
ROOF CATEGORY
❑ Low Slope E3 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 )k Reroofing ❑ Recovering
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
Section 8 (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains.
Include dimensions of sections and levels, dearly identify dimensions of elevated pressure zones and location of parapets,
ST. LUCIE WORKS
Section D (Steep Slope Roof System)
Roof System Manufacturer -
Notice of Acceptance Number:,FL
din
Minimum Design Wind Pressures, If Applicable (From RA5127 or Calculations):
Zone 1- one 2e- one 2n_Zone 2r:one 3e:one 3r:
Deck Type:
Type Underlayrnent A f �Uqr''
rJ
R f Sbpe
t2
Insulation
Fire Barrier: I i
Rid �11� aton7 Fastener Type & Spacc bg:
Adhesive Type:
Type Cap Sheet
Mean Roof Heigh: 1 S Roof Covering S- U r-q .}G j
Type & Size Drip 11(3
Edge: