HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ao� 11 SCANNED Permit Number:
BY
e_ St. Lucie Countv
Building Permit Application
Planning and Development Services N O V 2 Q 20 17
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-2553 Fax: Commercial X
(772) 462-1578 ResidiNeal......................
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address 46821 ngs Hwy
Legal Description:
Property Tax ID q: 1313-232-001-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Inddo Crossings Roof Replacement Roof F
Setbacks Front Back: Right Side: Left Side:
_DETAILED DESCRIPTION OF WORK:
Roof F - Roof Replacement with new TPO roof
CONSTRUCTION INFORMATION_
Additional work o orme under tis permit—checka appy;
❑HVAC If Gas Tank ❑Gas Piping ❑
_Shutters Windows/Doors
Electric 0 Plumbing ❑Sprinklers 1:1 Generator Roof Roof pitch
Total Sq. Ft of Construction: 2,840 SF S- . Ft. of First Floor..
Cost of Construction: $ 27.264.00 Utilities:Sewer Ej Septic Building Height: 20
OWNER/LESSEE:
'CONTRACTOR:
Name CIII BSCMS107 Indrio Crossing Se
Name: Robert McNamara - -
Address:190 S. La Salle 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 on next page ( if different
E-Mail: daaolon@tectaamedca.com
State or County License: CCC1326971
from the Owner listed above)
Mvalue of construction Is $2500 or more, a RECORDED Notice of Commencement Is required. -
i
CONSTRUCTION
MORTGAGE COMPANY: _ Not Applicable
Address: Address:
City: ' State:_ City: State: _
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Haaress: 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 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 Commen en
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/e3si eJ/ of tiactouas'Agent forOwner�
Signature of Contractor/License Holder
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STATEOF FLORIDAq
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COUNTY OF-ent
was acknowledged before me
this Yday of YIOJQM}pR .2017 by
The f ding instr ggg[[[���f7g d n wledg before me
thisMd f , 20 by
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(c1j�) u44i1
Name of person!,,,SVking statement
Name of per n maKing statement
Personally Known r/ OR Produced Identification_
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Pro ed
Produced
7, Claudia
(Si nature of Notary Public -State o I ri - S
aturedfN6ttary. P.ubli State of,Fl da '
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Commission No. -a 1 a31 J ODAIMIS 0.
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on o. C-kM7 v,E Expires 1 I
- MYCOMMIS5101
EXPIRES: Oct
er25,2019
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
9117
DATE
COMPLETED
Rev. 8/2117
of Fiorida
39764