HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLET WAWMATION TO BE ACCEPTED
Date: BY Permit Number: 41]
St. Lucie County
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Building Permit Application
Planning a i id Development Services Nov 2 0 20�1 Ic'
Building and Code Regulation Division
2300 Wginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X ResigAlat ...................
PEf2MITAPPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION,
Address TA_-81—oZ4'86_8Nngq Hwy
Legal Description:
Property Tax ID#: 1313-232-001-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Indrio Crossings Roof Replacement Roof B
Setbacks Front Back: Right Side: Left Side:
QlETA!LFD, OESCRIPT46N OF WORK:
Roof B - Roof Replacement with new TPO roof
JCONSTRUCTION, INFORMATION:
Acaitionalworictobf]rtonmed under this permit — check—aTl,ln apply:
UHVAC GasTank E]Gas Piping
_ShuttersWindows/Doors
11 Electric Plumbing OSprifilders [:] Generator 2] Roof F-1 Roof pitch
Total Sq. Ft of Construction: 736 SF Sq. Ft f First Floor: L. 0 its
Cost of Ccifistruction: $ 7.066.00 Utilities: Building Height:'20
LiSew.erl—]Septfc
'OWNER/LESSEE:
vWNTRAMR:
Name ' CIOBSCMS107 Indric, crossing SC-
Name: Robert McNamara
Address: 190 S. La Sall I a St 7th 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. 954-419-9339
Fill In fee simple Title Holder an next page (if different
&Mall: daeolon@tectaamerica.corn
State or County License: CCCI 326971
from the Owner listed above)
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
y
SUPPLEMENTAL CONSTRUCTIOPI LIEN LAIN INFORMATION:;
DESIGNER/ENGINEER: _Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: ' State: _
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 certify that no work or installation has commenced prior to the issuance of a permit.
St. L cie County makes no representation that is granting a permit will authorize the Permit holder to build the subject structure
whic Is In conflict with any applicable Home Owners Association rules, bylaws orand covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Associationand 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. Lurie 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 first inspection. If you Intend to obtain financing consult with lender or an attorney before
commencingwork or recordingour Notice of Commence nt.
_5lgnaturE.ofgwner/Lessee/Contfa`ctoiasAgen4focpQivnerJtSTATE
ignature of Contract or/LirenseHolder -
STATE OF FLORIDA � JJ
COUNTY OF 17401.JOt-IW
OF FLORIDA wLl fa
OUNTY OF
The forgoing instrument was acknowledged before me
this,�dayofJe/AiX1L. .20� by
The%olngnstrun nt� a ack wledgrd,�efore me
thisof20 by
7ZQc�9on 17incirt-6A
f� . Ga aMw
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Name of pers906aking statement
Personally. Known OR Produced Identification _
Type of Identification
Produced
tgClaudia
Name of per n making statement
Personally Known OR Produced Identification
Type of Identification
Produced
Montill
atu of Notary Public t t to i - I
F //���•• m -Commission #GG 3
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na_ture.of;Notary Public$tat f ,l OD
MY WMMISSIONi
Commission No, la'S '. ') 'EXPIRES: Octobef
?1R.• BadatlThmtbtmY
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REV W
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
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DATE
RECEIVED
DATE -
COMPLETED
Rev.8/2/17 -