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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICAKE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11 12411 p SCANNED Permit Number: _I �� l_Q1 5 S I BY E _ de Countv -r o t. �u RECEIVED Building Permit Application NOV 2 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 2701 Industrial Ave 2 Ft. Pierce, FL 34946 Legal Description: Airport Industrial Park Unit 1 block 2, part of lot 3 and all of lots 4-6 Property Tax ID q: 1429-501-0018-0007 Site Plan Name: Project Name: Fort Pierce Roof Replacement Setbacks Front Back: Re -roof V�, - RVwt'Dws Syskar ow Total Sq. Ft of Construction: Cost of Construction: $ 62,5 Right Side: oo, atiiS cb"N� 6t, Left Side: Lot No. Block No. (I� Windows/Doors W1Roof 1/4 Roof pitch 5,050 S Ft. of First Floor: 00.00 Utilities: Sewer Septic Building Height:20' OWNE%LESSEE+ g T_ R +CONTRACTORVgi Name Tr Int Imp Trust Fund Name: Dave Wikel Address:2701 Industrial Ave 2 Company: Therma Seal Roof Systems, LLC City: Ft. Pierce State: FL Zip Code: 34946 Fax: Phone No. Address: 1421 Oglethorpe Rd City: West Palm Beach State: FL Zip Code: 33405 Fax: 561-444-2272 Phone No. 561-223-2096 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: irivera@thermasealroofs.com State or County License: CCC1325862 it value or construction is 44WU or more, a RECORDED Notice of Commencement is required. SUPPLEMENTALCONSIRUCTIC)N LIEN LAW INF©RMAT10 • DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: Zip: Phone: State: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: 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 apermit 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 no -residential use WARNING TO OWNER: Your failure to Record a Notice of Commence en may result in4yY6p711 twice for improvements to your property. A Notice of Commencement m t be ecorded and the jobsite before the first inspection. If you intend to obtain financing, co suit Ith Inder orrbefore commencing. work or recording vour Notice of Commenceme .. Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 4eo/t COUNTY OF The for oing instrument was acknowledged before me thisdayof A1V11e at(.Lu . 20 Lby lf�.I�Ybi,�C- (Narhe of person acknowledging I The forgoing instrument was acknowledged before me this tam day of Nmamber 20 J�Lby Dave Wikel (Name of person acknowledging (Signature of aotary Public- State of Florid (Signature of Notary Public -State of FI 'd Personally Known ✓ OR Produced Identification Personally Known x OR ProdL"B�(liAiitdi'oatipn Type of Identification Produced Type of Identification Produced \ %%cJVV7� JgCi1 � Commission No. MARYAIICE COOKS ssion No. O� Fy o(Seal,t4 W COMMISSION# GG Ot D5a = Nbn'ay c'e, rTJ T1 — we u �t OBgg` ra T7 Revised 07/15/2014 Bonded Tin No4vyPubtieUMenINIAM - - LIC .� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION S�PlTUJjTIi� MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW, REVIEW DATE M � �� COMPLETE / INITIALS