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.