HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application MAR 15 2022
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial
CBDG Funding
PROPOSED IMPROVEMENT LOCATION:
St. Lucie Coun
Per itti
ty
Residential
Address: 7t Ay4a . RA D&- ljea-r-A, 3 7 ?,S-
Property Tax ID #: T J—//'P/L 0 0/ 0d- Lot No.
Site Plan Name: me" 'e R rl i'eA- CFS Block No.
Project Name: Me 'eK 4"ejecit-s.
DETAILED DESCRIPTION OF WORK: I
(A
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
�a
(Affidavit required)
_Mechanical — Gas Tank —Gas Piping — Shutters — Windows/Doors — Pond
— Electric — Plumbing —Sprinklers —Generator `Roof Pitch
Total Sq. Ft of Construction: / 70 0 Sq. Ft. of First Floor:
/ 1 r
Cost of Construction: $ 5-a • dAh Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name (rlfti. Pu."-R "ele-cLJ
Name: Oq fiewo,-e
Address: 7r!P Re, Ak
Company: �I e�kA,
Jr.
City: State: _rJ.
Zip Code: O (N S7 Fax:
Phone No. 77;t - aJ0S"' -S"V33 E-
Address: G Sl,AJ. Y%de %k O� s
City: PDT LA4, cl� -rc State: /mil
Zip Code: (195-3 Fax: -�
Phone No 170� - o� / a - 50g5(
E-Mailer , 'A.1a q 0 @ �rnu �• �/+''t
Mail r&RS 0-.Lc( it-f (Lt" . C- r--)
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License C CC / 3 3/ 3 a.(
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. � I
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. FE, C"OVP
ILY
SUPPLEMENTAL CONSTRUCTION LIEWLAW INFORMATION:
DESIG R/ENGINEER: _ Not Applicable
MORT GE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: hone
Zip: one:
FEE SIMPLE TITLE HO ER: _ 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 Cou y and posted n the jobsite before the first inspection. If you intend to obtain financing, consult
with le a or an a orn before commencing work or recording our Notice of Commencement.
Signatu of "ntractgr Actr - Owner Builder as applicable
STATE OF FLORIDA
51�. �-� C_Tc
COUNTY OF
Sworn t r affirmed and subscribed before me of Physical Presence or Online Notarization
this �y of 2Q:1-by
lCled i'h
Name of pers n making statement.
Personally Known _J�011 Produced Identification
Type of Identification Produced
zlieh"?
(Signature of Notary Public- ffate of Florida)
Commission No. (Seal) #ON Notary Public State of Florida
Andrew G Reidy
My Commission GG 347651
aft, 06j/�j Expires 06/2312023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21
ls�4 dU0E L;
_10 0 _.
4
Ip'
C/
ST. LUCIE WORKS
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
1,2,3,4,5,6,7
Prescriptive BUR-RAS 150
A, B, C
2,4,5,6,7
Asphaltic Shingles
A, B, D
1,2,4,5,6,7
Concrete or Clay Tile
A, B, D, E
A, B, D
1,2,3,4,5,6,7
Metal Roofs
1,2,3,4,5,6,7'
Wood Shingles an
Shakes
A, B, D
1,2,4,5,6,7
Other
As Applicable
1,2,3,4,5,6,7
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 18, 2021
ST. LUCIE WORKS
Section A (General Information)
Master Permit No.
Contractors Name: P0f111Vt,,aeeLrCense#
Job Address N2 �0,4-
ROOF CATEGORY
Process No.
C CIf
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles
❑ Asphaltic Shingles iKetal Panel/Shingles ❑Wood Shingles/Shakes
❑ Prescriptive BUR-RAS 150
ROOF ROOF TYPE.
❑ New roof ❑ Repair ❑ Maintenance LR Reroofing ❑ Recovering
.ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) 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.
7
REGoVED
MAR 15 ZW
St. Lucie ry
ermiw ng
ST. LUCIE WORKS
Section D (Steep Slope
Roof System Manufacturer:
System)
Notice of Acceptance Nurnuer: r� d 7 (f / q — 9
Minimum Design Wind Pre ures, If Appli ble (From RAS 127 or Calculations):
.Zone 1'.'�('�Zone 2.. Zone 2n��one 2r:—".—Xzone 3e-to'?2one 3r: —DJ'• r
Roof Slope:
lam_: 1'2
Ridge Ventilation?
Deck Type:
Type Ui
Insulation-
Fire Barrier: /}
Fastener Type & Spacing: J A
Adhesive Type: A. 1j4-
Type Cap Sheet: ti �/A
Mean :Roof Height: /D r
Roof Covering: I S-V CA,
Type &.Size Drip
Edge: