HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL A PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (D 5'&'�L
Date Permit Numbe::_ go
SCANNED 241r'ov EcM
VIM,
IP . . . . . . BY R D
St. Lucie County
Building Permit Application AUG 2 12018
Planning and Development Services
Buij'ng and Code Regulation Division Permitting Department
230J,1 �Virginia Avenue, Fort Pierce FL 34982 1
Phon'le:(772)462-1553 Fax: (772) 462-1578 Commercial R &.,LjVc)�9- County, FL
F—PE04IT APPLICATION FOR: Roof
0 5 tD PIMPROVEMENT LOCATION.'
ik do, MP R
Addr9s: 2910 1porest PI., Fort Pierce, Fl. 34982
Legal,l,Description: MARAVILLA PLAZA S/D BLK 6 PART OF LOTS 8 AND 10 MPDAF: FROM NW CORLOT 2
Property Tax I D #: 2421-802-0060-000-9
Site Plan Ian Name:
Proj III tN
Set I cks Front I . Back: - Right Side: Left Side:
Lot No.
Block No.
:61E'
JAILED DESCRIPTION OF WORK-1
Remove existing shingle roof and flat roof. Install peel-n-stick undedayment secondary water barrier, install 5-V crimp 26 ga. metal roofing
systerp'
1. Install poly -glass modified bitumen peel-n- stick base sheet and cap.
CONSTRUCT,
'STROCT, 10N]NFORMATION-
PI
Additional work to be performed under this permit —check all a ppFy:
1DHVAC 11 Gas Tank OGas Piping In Shutters E]Windows/Doors
MI Electric El Plumbing OSprinklers E]Generator Z Roof Roof pitch
Sq. Ft of Construction: 2724 S Ft of First Floor:
of Construction: S 18,475.00 Utilities:] Sewer 0— Septic
Building Height: 8
�'b
NER/L5SS*EE:2
CONTRACTGR14,
Na e Don Allan & Joyce Allan
Name: Wanda Gahn
A J��'
d r ess: 2910 Forest PI, Fort Pierce, Fl.
Company: VWVW Enterprises & Son, Inc.
Cit Fort Pierce FI
State:
Address: 8833 Lonesome Pine Trail
4,Code: 34982 Fax:
City: Fort Pierce State: FI
l
Ph ine No.
Zip Code: 34945 Fax:
I
E-Mail:
Phone No. 772-465-9373
Fill in fee simple Title Holder on next page if different
Id
E-Mail: wandagahn@aol.com
'I
fro r" the owner listed above)
State or County License: CCC1 326015
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Sl1P}LEMENTAL
CONSTRUCTION L ELAUD INFORMATION
�rN
DESI�II NER/ENGINEER: X_ Not Applicable
MORTGAGE COMPANY:
�f Not Applicable
Nam
Name:
Add less:
Address:
City; Fort Pierce State:
City: Fort Pierce
State:
Zip: III Phone
11
Zip: Phone:
FEE SAMPLE TITLE HOLDER: N Not Applicable
BONDING COMPANY:
Not Applicable
Nag.
Name:
Add eSS:8833 Lonesome Pine Trail
cityll
Address:
City:
Zip: Phone:
Zip: II Phone:
I'I
OWN�R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi that no work or installation has commenced prior to the issuance of a permit.
St. Lucre County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which "s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structL I e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consll,ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acc �'dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fo "owing 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
WAR !VING 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
beforie the first inspection. If you intend to obtain financing,. consult with lender or an attorney before
commencing workor recordingwur Notice of Commencement. Qm�,,..,,.
Signature of Owner/ Less ontractor s Agent f r Signature o �ontractd/ icense Holder a E� .
STATE OF FLORIDA lei s n STATE OF FLORIDA m R
COUNTY OF 1/li!i[�� _ COUNTY OF o� 2
�1��,,orgoing
lid Su% -aThe instru t was acknowledged before o 6- 9 The f{tr�oing instru e t was acknowledgg efore me 11J
this day of 20)4 by <>w thi day of 2d by
co
�I ovn�(o� G teal n , �d. ��h ►)
Name'of per making statement Name of per making statement • ,*„�t�'
Perg'onally Known OR Produced Identificationersonally Known OR Produced Identification
Type of Identification ype of Identification
Produced Produced
6C/
sy�
(Si6ature of NUary Public- State of Florida) (Signature of Notbjy Public- State of Florida )
CorrLission No. (Seal) Commission No. (Seal)
REVIEWS
I
DA E
REOEIVED
DATE
CO�VIPLETI
j Rev. /2/17
I I�
FRNT ZONINGANGRO
COUO TER I REVIEW I S REVIIEWUPERVISOR RE I VEGETATIONE EWI S REV EWEATURTLE MREV EWVE
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