HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U �1
Date: 12/18/2017 Permit Number: �, �� 5 1 I
Building Permit Application)"�
Planning and Development Services DEC 2 0 2011
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resiential
PERMIT APPLICATION FOR: Roof - �, �� 1 ,M d a 1p'
PROPOSED IMPROVEMENT LOCATION r
Address: 2403 River Hammock Lane, Fort Pierce, FI. 34981
Legal Description: 0436 40 (LOT 3 RIVER HAMMOCK ADDN UNREC) E 128.12 FT OF W 384.36 FT OF PARCEL C RIVER HAMMOCK AS IN PL BK 23-2 (0.50 AC)
Property Tax ID #: 3404-313-0011-040-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTIO,N,,OF,WORK:
Remove existing shingle, replace with peel-n-stick and 1" Standing seam w/nail strip, Flat roof remove
(2 sq)existing torchdown and replace with Polyglass peel-n-stick base sheet and cap sheet.(2 sq)
CONSTRUCTION IN,FORMATIO'N
Itiona work t0 e e Orme un er t Is „
permit — c ec app y:
11HVAC 11 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric El Plumbing Sprinklers Generator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 2591 Sq. Ft. of First Floor: 2591
Cost of Construction: $ 23,300.00 Utilities: Sewer Septic Building Height: 8
011UNER./LESSEE: ..
CONTRACTOR;
Name L� b2b1. eoS S
Name:.
Address`- 3 ISC
Company: ,LZi' " l��
City: �9 efl,C'to - Stater
Address: � �� '4>O �r�,/i��s �✓
Zip Code: Fax:
City:.�>:,/J'��<C Stater
`/
fV Phone No. 14
Zip Code: Fax:
E-Mail:
Phone No.
Fill in fee simple Tr/le Holder on next page (if different
E-Mail:
from the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
v
NER/ENGINEE R: _Not Applicable
Name:
Address: 2403 River Hammock Lane, Fort Pierce, FI.34981
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 exemptfrom 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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 your Notice of Commencement—, -,-
Signature o Owner/ e—e n acto s Agent for Owner
Signature Contractor i nse Holder
STATE OF FLORIDA
STATE OF FLOgIPA ,
COUNTY OF 6 � . Luc ��
COUNTY OF '- ,
The forgoing instr ment was acknowledged before me
�-e
The forgoing instr ment was acknowledged before me
thisek6 day of c 20M by
this'�'a day of 201a by
l�Jdr J\, 6`%`
\.� 'n"W�'a
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced rc V
Produced t -
(Signature of Notary Public- State of Florida.
(Signature of NotaEA
IEGIriS �3
Commission No. i-- UEA( ('ON#GGOi2L•-
NNAMARIE GNE1+
MISSION#G I20°� +,
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REVIEWS
FR
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17