HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number.
BY ,,.v Uji
St. Lucie Countv 2
Building Permit ApplicatInNO
Planning and Development Services
Building and Code Regulation Division BY: ...........
2300 11irginia Avenue, #art Pierce FL 349&2
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Roof
PROPOSED, IMPR-QVEM'- ENT kO-CATION-
Adclress�- 485�61ngs.Hwy
Legal Description:
Property Tax ID#: 1313-232-001-006-4 Lot No.
Site Plan Name: Block No.
Project Name: Indrio Crossings Roof Replacement Roof E
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Roof E - Roof Replacement with new TPO roof
coNsT-RuCfl6N INFORMATION:
Additional worK to be rformed under this permit — cnecK all apply:
0HVAC UGasTank []Gas Piping Shutters 01windows/Doors
Electric EJ Plumbing []Sprinklers 11 Generator 21 Roof Roof pitch
Total Sq. Ft of Construction: 12,892 SF Sq. Ft. of First Floor:
Cost of Construction: $ 123,763.00 Utilities:'o SewerE]Se ptic Building Height: 20
OWNER/LESSEE:
CONTRACTOR'
Name CHI BSCMS1 07 Indrio Crossing Sd
Name: Robert MCNafrafa
Address: 1190S. La Salle St 7th Floor
Company: Tecta America South Florida. Inc
City: Chicago State: IL
Address: 1431 SW 30th Ave .1
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: dicolon@teclaamerica.com
State or County License: CCC1326971
from the Owner listed above)
If value of conaructlon Is $2500 or more, a RECORDED.Notice of Commencement Is required.
,SUPPLEMENTAL CONSTRUCTION.11EN IAVihINFORMATION: .
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City: ' State:
City: State:
Zip: Phone
_
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: 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 FloridaBuilding Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrenry 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commence ent
4 5c .
L /
_ nature .: wner/.Lessee/Contractor�as AgenFf&ffi eft
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF F PA lo�
COUNTY OF AI
The forgoing instrurXent was acknowledged before me
The $Ding instr ent wasla_cJt wledggd-pefore me
I
this�day of JCM 201i by
this r/ ay of Q r�f/j 20_Llby
o d f1'<D
6 er
Name of person sing statement
Name of per making statement
Personally Known OR Produced identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced _
Produced
a
//,{1
61caiL
otP�Vc'' Claudia Montil
rJ
Notary Public -Stale
f
rida
(zg a[ure of:No(ary,Puhlic-5 eo Ip ,r ODALMI3 C.rFF912375
atur fNo ary Public ) Commission#GG
9 -4
Commission "f io�i37 '�` MY COMMISSION
/`r 2S��Expires l0.'18!2
2
No..�t D(PIRESOGsi
No. .,
Pten
REVIEWS
-FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
-REVIEW
REVIEW
REVIEW
DATE
�J
RECEIVED
_DATE_
COMPLETED
tev.8/2/17
FA