HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: q.L / SC gY E D Permit Number:
�
St. Lucie County
R ECEj Ve®
Building Permit Application A
Planning and Development Services APR � 6 2a
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34M2
Phone: (772) 462-1553 Fax: (772) 4d2-1578 Commercial xxxa:xxxx Residential
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 2950 Rosser Blvd Port St. Lucie, Florida 34953
Legal Description: FLAST YLr+l'L-HT of Inc&To p No l SLiLS (1`6 43 P611 T'AAcT I
Property Tax ID #: 4
Site Plan Name:
Project Name: Rosser
Setbacks Front
3 t1l_
Back:
U015 Ut70 -5
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
a
Lot No.
Block No.
CONSTRUCTION INFORMATION: I
Muu i uU1101 wu1n w ua owi Ircu uuuCTuJib pcnun—uiecn an dppry: I
[--IHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors L
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: -- S Ft. of First Floor: Sdr.TL
Cost of Construction: $ 158,100.00 Utilities.Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St. Lucie County
Name: Dave Wikel
Address:2300 Virginia Avenue
Company: Therma Seal Roof Systems, LLC
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.772-462-1400
Address: 1421 Oglethorpe Road
City: West Palm Beach State: FL
Zip Code: 33405 Fax: 561-444-2272
Phone No. 561-223-2096
E-Mail: l%A -t-lqC% 0, ork
Fill in fee simple Title Holder on next pag (if different
from the Owner listed above)
E-Mail: Igaroutte@thermasealroofs.com
State or County License: CCC1325862
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
P
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENER:
Name GI
• Not Applicable
-
MORTGAGE COMPANY: x Not Applicable
Name:
AllAddress:
City: � D
Zip: Phone:
Statg.•�
/� )— d 1�Y �/
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 o e jobsite
before the first inspection. If you intend to obtain financing, consulter* lender or an a or y efore
commencine work or recordine vour Notice of Commencement. / 1 /
It °
//. Z,4& ZL
r_A�
s
_ Signature of Ownbri Lessee/Agent
Signa o r/Li nse Hold
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm aear
COUNTY OF Palm Beach
The for ing instrr Lnt was acknowledged before me
th'6 i oday LL 20/�by
The forgoing instrument was acknowledged before me
this day ��R IL 20 116 by
oYAsr
of .
,ggyeNRke1— 1
Dave Mel
(Name of p son owledging)
(Name of person acknowledging )
a ure of Notary Pu t e of Florida)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificat' r r e =
Type of Identification Produced _ ...-
.�„w�,,,,, .. 1
Commission No. "� ��I)PELTON :;� ';
p •>` IL SAPIENS
Commission No. , o (Seal)ssion# FF 042521
NWry PYIe - Clrts 01 Ftofld�
xFlres August 4 2017
sa��:1f
NN Eomm. hdm.On 3L tale
>iG iNUTmy Fai lnx✓ornflWJOS]O1F
Revised
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS