HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-16
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: � �y loscas
-
COCINT� Y
Building Permit Application SCANNEIJ
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 /�
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ✓
BY
St. Lude Qr O
Residential
PERMIT APPLICATION FOR: Roof III
Address: 9301 Okeechobee Road, Fort Pierce, FI. 34945
Legal Description: Portion of Section 27, Township 25S, Range 39E
Property Tax ID #: 2326-231-0001-000-4
Site Plan Name: S-382 Pump Station
Project Name: S-382 Pump Station Roof Replacement
Setbacks Front Back: Right Side:
LeftSide:
Lot No.
Block No.
This is to replace the roof at the South Florida Water Management District's pump station S-382.
HUUILIU11di WUI K LU UM[ IUI IIICU UIIUCI L111b PC[ 1111L— LI
❑HVAC Gas Tank []Gas Piping
11 Electric 0 Plumbing []Sprinklers
Total Sq. Ft of Construction: 3,240 SF
Cost of Construction: $ 105,000.00
❑ Shutters ❑ Windows/Doors
❑ Generator 9 Roof = Roof pitch
S Ft. of First Floor:
Utilities:Sewer ❑Septic Building Height:
OWNER/LESSEE-
CONTRACTOR:
Name South Florida Water Management District
Name: Carl Fleury
Address: 3301 Gun Club Rd
Company: CJ Contracting, LLC
City: West Palm Beach State: FL
Zip Code: 33406 Fax: (561)682-5133
Phone No. (561)686-8800
Address: 11924 Forest Hill Blvd., Ste. 1 OA-267
City: Wellington State: FL
Zip Code: 33414 Fax:
Phone No. 561-273-9985
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: carl.cjcontracting@gmail.com
State or County License: CGC /3303 9L,
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name' South FloOdaWater ManagemenlDiatnG
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 3301 Gee club Rd
Address:
City: West Palm Beach State: FL
Zip: 33406 Phone: (5e1)6e0-NOO
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County make o representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict ny applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structureVilinspection.
with your Home Owners Association and review your deed for any restrictions which may apply.
In considranting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordapproved plans, the Florida Building Codes and St. Lucie County Amendments.
The foliopermit applications are exempt from undergoing a full concurrency review: room additions,
accesso swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR NER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr your property. A Notice of Commencement must be recorded and posted on the jobsite
bef , spection. If ygllintend to obtain financing, consult withlender or an attorney before
as
this'oLlod yinstrkrrSg try wasacknowle20n-bfYreme
this day of {{'��1I''K-1il 20
Personally Known OR Produced Identification
Type of Identificat" ftotjeed
Commission No.
Revised 07/15/2014
Nr COMMI$" M FF24itE!
EXPIRES Jun& 17, 2Q1st..
S'VATE OF FLORIDA
COUNTYOF y1
The forgoing instrument was acknowledged before me
this _Lday of /AT 20 A-? by
(Name of person
(Signature of Notary Public -.State of Florida
Personally Known C
Type ofldentifica rY,�d�4,ce MArru
fra ffii MY COMMISSION 9 GG 058673
Commission No. i i�` FIRE&J8Qty 2021
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REVIEWS
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