HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: Permit Number: I1 1('' 0 5S 1
' RECEI1' 7D OCT 23 2017
SCANNEDBuildin 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 Mulit-family Residential
PERMIT APPLICATION FOR: Roof -�'y�t j� �UL {`p rr
t IP4J1
�
PROPOSED IMP„ROVEMEI T;LO.CATION.`� ;
Address: r� 3`i 75
Legal Description: Qvt (7 i C�/Yl fytfliy t we'/q �y` �M kiL�y CIti eghtfU40
P f 'M'2'0 (f S d ePr o,���Jgv�sP� F`3eac�
Property Tax ID#: N56ZS6Z-666( 4Aru Lot No.
Site Plan Name: `i5o�.�a3-ab0o.000—� Block No.
Project Name: Atlantis Building B reroof
Setbacks Front Back: Right Side: Left Side:
-}ore t fdn.SC d tre- -%
dv,vh -ev grec�. `l�rti ode
,CONSTRUCTION.'INFORIVIAT W
Arirlitlnna I m,nr to hono nrma iin ort is ncrmrt—,hcrnil 4 n+nnn.n
0HVAC Gas Tank DGasPipingShutters
Electric 0 Plumbing Sprinklers Generator
Total Sq. Ft of Construction: 17400 S Ft. of First Floor: _
Cost of Construction: $�*000 Nd3 08 Utilities:T]SewerSeptic
QWindows/Doors
Roof PT1 Roof pitch
Building Height: 7 Floors
Y yr
:OWNER/LESSEE '
CONTRACTOR ``
Name
Name: Jesus Vasquez, Jr
Address: d r
Company: All American Roofing & Coating of FL
City: 2 01 State:
Zip Code: 3Yq g'?' Fax:
Phone `i -VV
Address: 340 SE Seville St
City: Stuart State: FL
Zip Code: 34994 Fax: 772-781.4408
Phone No. 772-781-4410
E-Mail: 4-_ 0 bLfiprne
Fill in fee simple Title Ho der on next page ( if different
from the Owner listed above)
E-Mail; allamericanroof@att.net
State or County License; CCC1329384 SLC ID - 27197
n verve V, cunmruca,un s ;couu or more, a nMunueu notice of commencement is required.
SUPPL'�EMENTAL;CONSTRUCTION LIEN LAW'111\1FORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: of Applicable
Name: Name: Jesus Vasquez, Jr
Address: Address:
City: State: City: swan State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: K11ot Applicable I BONDING COMPANY:
Name:
Ad d ress: 340 SE Seville St
City:
Zip: Phone:
Name:
Address:
Zip: Phone:
Applicable
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 accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commenc ent may result in your paying twice for
improvements to your property. A Notice of Commencement mus be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consul with lender or an attorney before
commencingAuQrk or rwordinRmw Notice of Commencement.. 9
Signature Owner/Les ntractor as Agent for Owner
cr /Le er
STATEOF FLORIDA
SAT OF FIL IDA
CO NTYOF LA--l�
C N OF
The forgoing i . nstrurRent was acknowledged before me
The forgoing instrument was a.I nowledged before me
this�/day of.2042rby
this ayof - 201-7by
Name of person making statement
Name of p rso making statement
Personally Known — -AR Produced Identification
Personally Known � OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
l
(Signature of Notary Public- State of Florida)
(Signature of Notary Public -St t f 1 r'
Commission No. 0QQ � f Y1PuoligSWlaofRorke
Gkia 9:.Piftmen
ommissionNo "� J�pteal.PnoState ofFbrida
Val. Pittman
g My nommissim GG 0093%
� � My Commission GG 069398
Expires 07/16MO21
of EXPIMSOMS12021
orw°�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17