HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNEO
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ALL APPLICABLE INFO MUST BE COMPLETED
Date: ac,al 1 N D
Buildi
Permit Number:
RECEIVED
Permit Application FEB 2 7 2Q18
Planning and Development Services
Building and Code Regulation Division I ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED. IMPROVEMENT LOCATION: '
Address: 6112 Deborah Way, Ft. Pierce, FL., 34951
Legal Description: Lakewood Park -Unit 5 - Blk 52 Lot 24 (Map 13/02S) (Or 3734-1109)
Property Tax ID #: 1301-605-0290-000-3 Lot No.24
Site Plan Name: Atkinson Residence Block No. 52
Project Name: Atkinson Residence i
i
Setbacks Front Back: Right Side: Left Side:
[bETA'ILED DESCRIPTION OF WORK:
Tear off old roof system to plywood deck, inspect plywood and nail (code) with 8d ring shank nails, dry
in with PSU-30 Peel & Stick Underlayment, install all new flashings and vents, install new 26 ga.
Galvalume "GulfRib" Roof Sytem, Flat Roof - install a 2-ply system: 1-ply SAV and 1-ply Polyfresco
Cap Sheet.
'{CONSTRUCTION INFORMATION:
Additional work to be nertormed under tis permit —check 'pil apply:
E1HVAC Gas Tank Gas Piping Shutters aWindows/Doors
Electric Plumbing HSprinklers Generator Q Roof Roof pitch
Total Sq. Ft of Construction: & O S Ft. of First Floor:
Cost of Construction: $ �— Utilities. SeweroSeptic Building Height:
OWN ER/LESSEE':
CONTRACTOR:
Name LynnAtkinson
Name: Michael ac
company: Enterprises Roofing & Sheet MetaT,
6 2 e ora ay
Address:
Ft. Pierce
City: State: _
n Street SW
Address:
Zip Code: 34951 Fax:
city: Vero LseaCh State:
Phone No. 6 3-9 6
Zip Code: 962 Fax: 2 569-4%$�
Phone No. 2 6 - 9
E-Mail: bene is 980 gmai .com
Fill in fee simple Title Holder on next page ( if different
E-Mail: mbero0 ing(g?gmai .co
from the Owner listed above)
State or County License: GCC 032498
IIIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
SUPFLEMENTA'L CONSTRUCTION LIEN LAW
FN,F0RMI f,10N
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State: l
Zip: Phone
I
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
City:
Address: I
City:
I
Zip: Phone:
Zip: Phone: I
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'lto 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 Buildingtodes 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 Not ce 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.
'SigaWoi Owner/ Les ee Contractor as Agen for Owner
Signature of Contractor/License older
STATE OF FLORIDA
J^'►�d
STATE OF FL D
COUNTY OF n !�r^'✓
COUNTY OF Jm4t 4,,
The ,fol� oing instr nt was acknowledged before me I
II
The f oing instµ nt was acknowledge before me
this � day of 20by
this,- day of 1^C 20 by
nn 414-AS0n
At(yv�.c.% P 1�144k
Name of person making statement
Personally Known OR Produced Identification
Name of person making statement
I Personally Known \(-- OR Produced Identification
Type of Ide jf'ca ion
Produced V
(Type of Identification
,Produced
(Si atur
(Signature
o ota Pu I'c- a ofFlorida
•<'r; �Py ,; KEVIN NEUBAUER
Commissi o MY COMMISSION # d6qM%86
i
Commissio
„y:?� y., KEVIN NEUBAUERQ'
EXPIRES: January 30, 2021
Bonded Ttuu Notary Public Underwrters
W EXPIRES: January 30, 2021
Bonded ThN Notary Publiw Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
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VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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REYAW
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17