HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/14/16 SCANNED Permit Number: I 0 1
:„- BY
.Ma als.0- St. Lucie County ECEWE®
Building Permit Application AUG 0 9 2016
Planning and Development services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Roof
Address: 4890 N. King Highway. Fort Pierce, FL 34951
Legal Description: 13 34 39 THAT PART OF SW 1/4 OF NW 1/4 LYG E OF KINGS HWY FEEDER RD AND S OF FOL ...
Property Tax ID #: 1313-232-0001-000-4
Site Plan Name:
Project Name: Indrio Crossing Shopping Center
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Remove gravel. Overlay 1/2" mechanically fastened recovery board. Install 45 mil induction welded
TPO roof system.
LIHVAC LJ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 61,076
Cost of Construction: $ 168,903
iermc — cnecK au apply:
gas Piping Shutters ❑ Windows/Doors
Sprinklers ElGenerator W1 Roof
S Ft. of First Floor: 61,076
Utilities:CnSewer OSeptic Building Height: 22 FT
OWNER/LESSEE
9 t 7
d , .Vsao
3, ah 'aS'�•
3 * r i- aim "`;, u.=�-
Name Stolz Mgmt co
Name: Dwight MarNede
Address: 725 Conshohocken StatE
Company: North American Roofing Services, Inc.
City: Bala Cynwyd
Zip Code: 19004 Fax:
Phone No.716-824-0462
State: PA _
Address: 41 Dogwood Rd
City: Asheville State: NC
Zip Code: 28806 Fax: 828-687-1230
Phone No. 800-551-5602
E-Mail:johle@stoltzusa.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: dmarwede@naroofing.com
State or County License: CCC057270
If value of construction is $2500 or -more, a RECORDED Notice of Commencement is required.
I/lAl%I�,-% ✓ fr;t�n .�INChE7 riz�"(p7�{3��i���2
Gipi,, ,UPPLEMENTAL,CONSTRUCTIO�N
.
, tk..W2��k.l.
LIEN LAW M,A ,IINFORTION"-l"'
ry
I
�
DESIGNER/ENGINEER:
Name:
_ Not ApplicableN
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip:
State:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: 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 on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
4 4�A S
_ Signature o�/ wner/ Lessee/ g nt Signature Of Contractor/License Holder
STATE OF FL8 STATE O
COUNTY OF COUNTY OF \knWrn
The forgoing instru nt w s acknowledged//��''efore me The forgoing instrument was acknowledged before me
this: day of 7J 20 Eby thiO"-- day of B%gA`= 201Ig .. by
i7�so l� ' Y)Oii w t d�TL
(Name of n acknowledging) (Name of person acknowledging )
G
(Signature of Notary Public- ate of Florida) _(SignatuR of Notary Public- State of-Fforide-)
y`7 `t✓ \\\\11111I Illlll
Personally Known ^pQMM4ML+fAaD�ufP:E.[RU NM Personally Known OR Produced, \r fiEaPti�'nN
Type of Identification droduced NOTARIAL SEAL Type of Identification Produced
Notary Public u'
Commission No. ION TWAU0111TOOMERY COUNTY Commission No. �S rV Public
I My Commission Expires Jan 20, 2019 3 B ncornbo Cn,,.....
Revised 07/15/2014
CgRO�A
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
1Io— 7--fZ