HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: Permit Number:,
- - - SCANNED
Building Permit Application By
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xxx Residential
PERMIT APPLICATION FOR: Roof
11 OROOO5FD.IM'PRO)UFMFNT,LOCATIDN. t,
Address: 4100 N A1A, FORT PIERCE 34949 BLDG 1
Legal Description: TREASURE COVE DUNES A CONDOMINIUM COMRISING A PART OF SECTION 23 TOWNSHIP 34 RANGE
40 ALL MPD AND SHOWN IN DECLARATION OF CONDOMINIUM OR 385-980 (4.15AC) (OR 385-980)
Property Tax ID #: 1423-502-0000-000-3
Site Plan Name:
Lot No.
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
w .+
'•,DETAILED DESCRiPTION`OF WORK `
RE -ROOF 48 SQ TPO 9 SQ LIQUID PMMA
CONSTRUCTION INFORMATION:
_ ..
ttona WorK to I_e 2e� orme under tIs permit—c ec a apply:
OHVAC LJGasTank E]GasPiping _Shutters QWindows/Doors
Electric Plumbing Sprinklers Generator Roof FLAT Roof pitch
Total Sq. Ft of Construction: 4800
Cost of Construction: $ 389,900.00
S �F'tj. of First Floor:
Utilities: L_ISewer 0Septic Building Height:
OWNER LESSEE .,
CONTRACTOR.
Name TREASURE COVE DUNES CONDO ASSOC INC
Name: RAYMOND SMITH
Address:4100 N A1A
Company: G & G ROOFING CONSTRUCTION INC
City: FORT PIERCE State:FL
Zip Code: 34949 Fax:772-286-2996
Phone No.772-286-2990
Address: 456 GUS HIPP BLVD
City:ROCKLEDGE State -FL
Zip Code: 32955 Fax: 321-301-4471
Phone No. 321-301-4470
E-Mail:MICHAEL.WEBER@ALSIGROUP.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: INFO@CFLROOFING.COM
State or County License: CCC1329326
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL.GONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: x_ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
x_ Not Applicable
Address:
Address:
City: State:
Zip: Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
x Not Applicable
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 contlict 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
commeneiriiff—work or recordine vour Notice of Commencement.
as Agent for Owner
COUNTY OF
The forgoing instrument was acknowledged before me
this '�N day of 4-%C>�C.ah� 20 L'1by
of Notary Public -
Personally Known OR Produced
Type of Identification Produced
STATE OF FLORIDA
COUNTY OFFT aNre"r'K
The forgoing instrument was acknowledged before me
this':"( day of V-AO_,rC A— 20 rl by
(Name of pe son Anowledging )
(Signature of Notary Public- State ofT[orkW)
Personally Known OR Produced Identificati
Type of Identification Produced
Commission No. � pgLIRRAYEKHOURY Commission No.
NOTBLIC
DAWN)E RAYE KHOURY
NOTARY PUBLIC
Comma Prnaurc Comm# PF114M
Revised 07/15/2014 . Expires4117/201B Aw Expires4/1712018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: d.3 `��j Permit Number:
RECE1V D FES 23 7.017
Building Permit Application SCANNEL,
Planning and Development Services BY
Building and Code Regulation Division St. Lucie Count,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1579 Commercial Residential
P
RMIT APPLICATION FOR: Roof- v,ab El
OP..OSED'INIPROVEMENTLOCATION:'
Address: 4100 N A1A, FORT PIERCE 34949
Legal Description: TREASURE COVE DUNES A CONDOMINIUM COMRISING A PART OF SECTION 23 TOWNSHIP 34 RANGE
40 ALL MPD AND SHOWN IN DECLARATION OF CONDOMINIUM OR 385-980 (4.15AC) (OR 385-980)
Property Tax ID #: 1423-502-0000-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Re -roofing of Buildings #1, 2;" 'alid-4-192 SQ TPO and 52 SQ LIQUID PMMA
Lot No.
Block No.
CONSTRUCTION INFORMATION::`
Aaclitional work to 2 er orme under this permit- check
a
apply:
[1HVAC E] Gas Tank
Gas Piping
_Shutters
❑ Windows/Doors
Electric 0 Plumbing
Sprinklers
Generator
R1 Roof at Roof pitch
Total Sq. Ft of Construction: 24,400
S9I�Ft.I
of First Floor:
Cost of Construction: $ 389,000.00
Utilities: LJSewer
ElSeptic
Building Height:
OWNER/LESSEE
CONTRACTOR;
NameTREASURE COVE DUNES CONDO ASSOC INC
Name: RAYMOND SMITH
Address:4100 N A1A
Company: G & G ROOFING CONSTRUCTION INC
City: FORT PIERCE State:FIL
Zip Code:34949 Fax:772-286-2996
Phone No. 772-286-2990
Address: 456 GUS HIPP BLVD
City:ROCKLEDGE State: FL
Zip Code: 32955 Fax: 321-301-4471
Phone No. 321-301-4470
E-Mail:michael.weber@alsigroup.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: INFO@CFLROOFING.COM
State or County License: CCC1329326
_100-14
If value of construction is S2500 or more, a RECORDED Notice of Commencement is required.
SUPPL,EMEN-_T ONSTRUCTION LIEN LAV1/ INFORMATION
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
City: State:
Zip: Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
X Not Applicable
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 1 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 w' len wra�i attorney before
commencine work or recordine vour Notice of Commencement_
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of 20 _by
COUNTY OF Rre revr�A
The forgoing instrument was acknowledged before me
this ` A day of "Pe.b , 20 1'l by
(Name of person acknowledging) I (Name o erson acknowledging)
(Signature of Notary Public- State of Florida )
D16Q
(Signaature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known ✓` OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07/15/2014
(Seal)
viaa'-0410
Commission No.
pAf&IE RAYE
NOTARY PUBLIC
EA*ea 4/1712018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
it rlog-
mil'
SLIPPLEMEN7Ap1 CONSTfiUCTIONLIEN LAU1I CIFORIVIAFION'»°
° r '
y a___.. m.._._ _ .. .....::..
DESIGNER/ENGINEER: x
Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X
Not Applicable
BONDING COMPANY:
X Not Applicable
Name:
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 liauwction. If ou intend to obtain financing, consult with lender or an attorney before
commenci ork o i vour Notice of Commencement.
COUNTY OF
A
as
The forgoing instrument was acknowledged before me
thi `s Q day of MCAXdA, 200 by
(Name of person acknowledging )
C7)', 0
i ok
(Signature of Notary Public- State of Flori a
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014.
COUNTY OF
The forgoing instrument was acknowledged before me
this � day of "c&C1ry . 20 1'l by
(Name o1 perso acknowledging)
(Signature of Notary Public- State cilfTTorida )
Personally Known X OR Produced Identification
Type of Identification Produced
D�IERAYEKHOURYI Commission No.
Nor PUBUC
Comm# FF114072
Expires 4/17/2018
DAL4452ANYEK14OURY
NOTARYPUBUC -
CXNnM#FFii4072
Expires 4117/2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS