HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONe
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SCANNED
Building Permit Application By
Planning and Development5ervices St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 3150 Will Fee Rd, Ft. Pierce, FL 34982
Legal Description: Please see attached
Property Tax ID #: 2428-112-0002-000-8
Site Plan Name: St. Lucie County Compound
Project Name: Mosquito Control Renovation
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Tear off and re -roof flat roof with Modified Bitumen.
Lot No.
Block No.
CONSTRUCTION INFORMATION: Ill
❑HVAC
IJ
Gas Tank
11 Electric
El Plumbing
Total Sq. Ft of Construction: 11,000
Cost of Construction:
$ 57,000
Ncu nu—wcI-n du apply.
Gas Piping _ Shutters ❑ Windows/Doors
Sprinklers Generator Roof
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St. Lucie County
Name: Owner/Builder - St. Lucie County
Address: 2300 Virginia Ave
Company: Owner/Builder - St. Lucie County
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-462-1444
Phone No. 462-1432: Jerry Flynn, Proj. Mananger
Address: 2300 Virginia Ave
City: Fort Pierce State: FI
Zip Code: 34982 Fax: 462-1444
Phone No. 462-1432: Jerry Flynn, Proj. Mananger
E-Mail: flynng@stlucieco.org
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: flynng@stlucieco.org — $/i�-G - S,3
State or County License: N/A
IT value or construction is 525uu or more, a RECORDED Notice of commencement is required.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
City: State
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
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 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 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 of O ner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
s
Signature of Contractor/LicenseHolder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was aacknowledged before me The forgoing instrument was acknowledged before me
this, day of �c� 20 Lby this _ day of . 20 _ by
(Name oAf,.personWackknowlledg�in�ga)
Sig ature of Notary Public- State oftPloricla )
Personally Known fa:'�� Ptfp�pjgq(pttflg@pon
Type of Identificatio 6 o 661 Commission # EE 848774
?'•,; Expires Dacember4, 2016
Commission No. '•a:y,'s;v;•' m anwt � =eoaaes71,1
Revised 07/15/2014
(Name of person acknowledging )
(Signature of Notary Public- State of Florida ) _
Personally Known OR Produced Identification__ _
Type of Identification Produced
Commission No.
(Seal)
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