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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _ SCANNED Permit Number: BY • St. Lucie County - Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Wiginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Roof PROPOSEb iIVIPROVEMENT LOCATIQNs - Address: 4892 Kings Hwy Legal Description: Property Tax ID H: 1313-292-001-000-4 Lot No. Site Plan Name: Block No. Project Name: Indrio Crossings. Roof Replacement Roof I Setbacks Front Back: Right Side: Left Side:. DETAILED.')3ESCRIPTION OF WORK: Roof I - Roof Replacement with new TPO roof CONSTRUCTION INFORMATION: Aclunional work to e e orme un ert -checkispermt a apply: ❑HVAC �GasTank ❑Gas Piping _Shutters ❑Windows/Doors ❑Electric ❑ Plumbing []Sprinklers ❑ Generator Roof ❑ Roof pitch Total Sq. Ft of Construction: 6,840 SF S . Ft. of First Floor: Cost of Construction: $ 62,208.00 Utilities: �Sewer El Septic, _Building Height: 20 OWNER/LESSEE: CONTRACTOR: Name CIII BSCMS107 Indrio Crossing SC Name: Robert McNamara _ Address:190 S. La Salle St7th Floor Company: Tecta America South Florida, Inc City: Chicago State: IL Address: 1431 SW 30th Ave Zip Code: 60603 Fax: City: Deerfield Beach State: FL Phone No. Zip Code: 33442 Fax: 954-419-9337• -E-Mail: - -- - - Phone No. 954419-9339 Fill In fee simple Title Holder an next page ( If different ' E-Mail: dacolon@tectaamerica.com from the Owner listed above) State or County License: CCC1326971 If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. SUPPLEMENTAL CONSTRUCTION LIEMLAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: ' State: _ Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name- BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as Indicated. I certifythat no work or installation has commenced prior to the issuance of a permit. Sty Lucie Count 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 f irst inspection. If you intend to obtain financing, consult with lender or an attorney before STATE OF FLORIDA I STATE OF FLORIDA ro (U _ (�A,,I COUNTY 0F��'nn jen,COUNTYOF The forgoing Ins en t was acknowledged before me this _ day of 691f _ . 20_IJ by J-4-06 7atm4e% Name of person m ng statement Personally' Known, OR Produced Identification_ Type of Identification Commission No. REVIEWS I FRONT ONING CO NTER I REVI W I REVIEW SUPERVISOR Rev. The fpfgoinginstruerytyy kno ledg�efore me this da { '�-Al ry 20_ by Name of pers n ma ing statement Personally Known OR Produced Identification Type of Identification (Signature 2019 Claudia EGETATION I SEA TURTLE I MANGROVE REVIEW REVIEW I REVIEW ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a Date: g1 �`� 1 �, Permit Number: rs: n r RECEIVE-D SEP 19 2017 SCANNED alai - BY - I Building Permit Application St. Lucie County 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 x Residential PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: .° Address: 4902 Kings Hwy Legal Description: Property Tax ID #: 1313-232-001-000-4 Site Plan Name: Project Name: Indrio Crossings Roof Replacement Roof I Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: III Roof I - Roof replacement with new TPO roof CONSTRUCTION INFORMATION: I III IJHVAC LiGas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: 6,480 SF Cost of Construction: $ 62,208.00 Piping Sprinklers LJ Shutters ❑ Generator S Ft. of First Floor: _ Utilities: Sewer ElSeptic ❑Windows/Doors R1Roof = Roof pitch Building Height: 20 OWNER/LESSEE: CONTRACTOR: NameReceiver for lnddo crossings Name: Robert McNamara Address: PO Box 813577 Company: Tecta America South Florida, Inc. City: Hollywood State:FL Zip Code: 33081 Fax: Phone No. Address: 1431 SW 3o Ave City: Deerfield 8earh State: FL Zip Code: 33442 Fax: Phone No. 954-419-9339 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: dacolon@tectaamedca.com State or County License: CCC1326971 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION: , DESIGNER/ENGINEER: Name: X Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Address: Address: City: Zip: Phone State: F _ City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: X Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 accessary 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 commencing work or recori ine your Notice of Commencement. Signature of OwnVAactor as Agent for Owner Signature of Contractor/License Holder OF STATE FLOSTATE OF FLORIDA COUNTYOF 3/ pc,J Ai COUNTY OF Broward The forgoing instrument was acknowledged before me this�dayof 'P6YJyc I' 201i by The fpQ�r�ppIng instrun e t sac no edge before me this l'7lrldagof 20� by MVfr44 S L40XCnC �G Name of person making statement Name of per n m king statement Personally Known OR Produced Identification i� Personally Known OR Produced Identification Type of Identification Type of Identification Produced FL DG Produced Claudla Montilla (Signature of Notary Public- ata) `°o'•o g ature of Notary Pu I r S o I 8� Commission#GG39764 ��99=0` MATTHEW NUNEZ Commission No. �' 7.0' 3• : ,o(Seary Pu61ic -State of Iqj§pn fission No. .F`oe`�a� 10!16'2020 Commission # FF 222 119 nuMy Comm. Expires Apr 2 2019 91 - REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION_ SEATURTLE MANGROVE — COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 ALL APPLICABLE INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: RECM"D SEP ? 0 2017 Building Permit Application 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 X Residential P.ERMITAPPLICATION FOR: Roof III PROPOSED IMPROVEMENT LOCATION: Address: 4902 Kings Hwy Legal Description: Property Tax ID #: 1313-232-001-000-4 Site Plan Name: Lot No.. Block No. Project Name: Indrio Crossings Roof Replacement Roof I . Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: III Roof I - Roof replacement with new TPO roof CONSTRUCTION INFORMATION: MUUILIUndI ww n w ue eI wI mcU UI WCI. UOD pCl lllll— LIIULK dil dpply: ❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors IjElectric OPlumbing Sprinklers 0Generator Roof Roof pitch Total Sq. Ft of Construction:.6,480 SF S . Ft of First Floor: Cost of Construction: $ 62,208.00 Utilities:�Sewer Septic Building Height: 20 OWNER/LESSEE: CONTRACTOR: NameRBaetv'rforldadocrossmgs Name: Robert McNamara Address: PO BOX 813577 Company; Tecta America South Florida, Inc. City: Hollywood State:FL Zip Code: 33081 Fax: Phone No.. Address: 1431 SW30Ave City: Deerfield Reach State: FL Zip Code: 33442 Fax: Phone No. 954-419-9339 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: dacblon@tectaame(ca.com State or County. License: CCC1326971 If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.