HomeMy WebLinkAboutBuilding Permit Application.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: MAvz+r Ilp, 7o27- Permit Number:
" 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:
Address: iDI5 WA12sy4=1i+ TEzwA-ce, 170E-7 S? Lode, f:. 3H62-
Property Tax ID q: 3415- 7o5 -6032 -oo6- o Lot No. 3 I
Site Plan Name: Block No. --
Project Name:
DETAILED DESCRIPTION OF WORK:
KE-06f 6F *WE f7-oA &h ►JErLE To Ire Vp CTA 8T7i1.1D lAJ6- S6tM
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Win ows/Doors _ Pond
_ Electric _ Plumbing�y_ Sprinklers _ Generator _ Roof 6O lz Pitch
Total Sq. Ft of Construction: 3J 39I Sq. Ft. of First Floor: 3i 39 Lf
Cost of Construction: $ 2% 11p3. 60 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Namec 4epl,- 1 LI6cyy
Name:DA-MIE-RC- lZICI&MA-AJ
Address:lo8l5 YVA-PS 1401N TEW A -CC-
company: A-11,(fi4iCE 4-1-dAP 49IU7PAzTIAI¢ Qj[P
City: POET 5 r LltctE State: F'-
Zip Code: 3%g5z Fax:
Phone No. 510 • 27&f • 1470 E-
Address: i 15 NW EAI'ITRPeISE Z4VE
City:J?D9--r�ISIT UiUE State:�li
Zip Code: '.r7g8L Fax:
Phone No?72-ffil-V0 b
Mail:44upColad!#U606-a WI
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Lld4MItffN6Wa►9
Mai "to
State or County License GLC 13309I$
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 CONSTRUCTIOLIEN LAW INFORMATION:
N e
.
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Pssociation 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
ith lend attorney before commencing work or recordin our Notice of Commencement.
Si natureo Co ractor- or- OwnerBuilderasapplicable
OF FLORIDA
COUNTY OF ST LUC1 E
Sworn to (or affirmed) and subscribed before me of _
this l&Oit day of K44TZi ift . 20 2Zby
Physical Presence or _ Online Notarization
-DA-10 ► e-U,f- PYe*M*'Al
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
' Q J
�.+� IN,. ELIZABETH A. SCILER
*a *Notary Public, State Of
4732
Commission No. HH74732
9"""'�My Commission Expires: 12I2212024
(.Signatur f Notary Public- Stttie of Florida)
Commission NA M 7 2 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
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MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
nev 10/12/21
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ST. LUCIE .
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
1,2,3,4,6,6,7
Prescriptive BUR-RAS 150
A, B, C
2A,5,6,7
Asphaltic Shingles
A, B, D
12,4,5,8,7
Concrete or Clay Tile
A, B, D, E
1,2,3,4,5,5,7_
etal Roofs
A, B, D
1;2,3,4;fi,17
Wood Shingles and
Shakes
A, B, D
1,2,4,6,8,7
Other
As Applicable
IA%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 RooflnfoFeb21 Rev Feb SB, 2021
ST. LUCIE WORKS
Section A (General Information)
Master Permit No.
Process No.
ContractorsName:AW*N1r- &eoav eft"&_n?14 ULF License# CC 1550918
Job Address MO Wftl7sWaRM TAKE ?w sr LaGv, FL_
ROOFCATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles
13 Asphaltic Shingles gMetalPanel/Shin Panel/Shingles 6 l7Wood Shingles/Shakes
❑ Prescriptive BUR-RAS 150
ROOF ROOF TYPE
❑ New roof ❑ Repair ❑ Maintenance .../
p Reroofing ❑Recovering
Q
Low Slope Roof Area (SF) ROOF SYSTEM INFORMATIO
Steep Sloped Roof Area (SF) 3 14' 3 3q
{ 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
Section D (Steep Slope Roof System) Roof System Manufacturer: G TAL At'A AW Cc
Notice of Acceptance Number:
}-L 2g523
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: LyW OOD r�Z
TypeUnderlayment PEEL, S'fttie. FL 2-1845
R f Sic a:
12
Insulation: R
Fire Barrier: N
Ridge Ventilation? Fastener Type & Spacing: I tr WJA y �•� QG
Adhesive Type: FN A.
Type Cap Sheet
Mean Roof Height: 5 Roof Covering: I a rjc, Zlo G�
\ Type & Size Drip
Edge:
ST. LUCIE
Section C (Low Slope Roof)
jFill in specific roof assembly components and identify
(If 4omponent is not used, identify as "NA")
Product
Design Wind P?VSsures, From RAS 128 Or Calculations:
Zone 1': --Zone
Max. Design Pressur
system:
Deck:
Type:
Gauge Thickness:
Slope:
Zone 2: _Zone 3: _
from the specific product approval
Anchor/Base Sheet & No. df Ply(s):
Anchor/Base Sheet Fastener/Bonding Material:
Insulation Base Layer:
Base Insultation Size and Thickness:
Base Insulation Fastener/Bonding Material:
Top Insulation Layer:
Top Insulation Size and Thickness:
Top Insulation Fastener/Bonding Material:
Base Sheet(s) & No. of Ply(s):
Base Sheet Fastener/Bonding Material:
Ply Sheet(s)' & No. of Ply(s):
Ply Sheet Fastener/Bonding Material:
Top Ply:
Top Ply Fastener/Bonding Material:
Surfacing:
Fastener Spacing for Anchor/Base Sheet Attachment:
Zone 1'—"
oc @ Lap, # Rows— ®"
oo
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,
CounterRashing, 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..
FT.
FT.
Parapet
Height
Mean
Roof
Height