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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION6• l ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:)A '� 0 SCANNED Permit Number: \1 a �- 03�� St. Luce County LAN ECEIVED -• � 18 2018 Building Permit ApplicatiPlanning and Development ServicesBuilding and Code Regulation Division ie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Roof - N'�'iC O PROPOSED IMPROVEMENT LOCATION: _ Address: 6599 S US Highway 1 Legal Description: Property Tax ID #: 3414-201-0036-010-5 Lot No. Site Plan Name: Block No. Project Name: Flowers Food/17-097-0946 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION"OF WORK: Please see attached Scope of Work. -j^ o �X>s/�lJ�/ �'✓1 G7v9/�< �an�� �`z,P/4G2 tJ �•f< s�,��1� CONSTRUCTION INFORMATION: Additional work to e orme un ert ispermit—checka d apply: E1HVAC Ei Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors 11 Electric 0 Plumbing []Sprinklers Generator Roof gi� Roof pitch Total Sq. Ft of Construction: 10,944 Sq� FFtt.I of First Floor.: L Cost of Construction: $ 146,069.00 Utilities: 1Sewer USeptic Building Height: OWNER/LESSEE: Flowers Baking Co. of Miami, LLC CONTRACTOR'Alex J_. Simon Name I,Jex2i n �s,Z'� n Name: , Address:17800 Miami Court Company: Simon Roofing and Sheet Metal Corp City: Miami State: FL Zip Code: 33269 Fax: / -Phone No.-�7� �%(1B-6 Address: 70 Karago Avenue City: State: OH Zip Code: 44512 Fax: 330-629-7674 Phone No. 330-629-7663 EXT: 1123 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: cdonitzen@simonroofing.com State or County License: CCC048202 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: 6599 S US Highway 1 Address: 17800 Miami Court City: Miami State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: 70 Kam90 Avenue 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 Count 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 W1arK or recoraing your Notice Or t,Ommencement. wn see/Contractor as Agent for Owner Signature o ontractor/License Holder STATE OF FLORIQA�!7/ STATE OFXMRpp(>I( OHIO COUNTY OF �iY1 < COUNTY OF M ONiNG The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this40 dayof JanUA/GW 20JY by this 7m dayof December 20_ by /y44il- a©m /nJ z) / Alex J. Simon Name of person making statement Name of person making statement Personally Known _y, OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature o Notary Public -State of otary Public-S to of O%1Commission F'�y .��//'��i No. 10�O% �;;�•,,, GEORGI `''• Publicdd 201a-RE-46asa1Cort Notary issio :DAVIS 26My Comm. Ex 2021 =N C'� ••>s, REVIEWS FRONT ZON N EGETATION SEA TURE�'•. TL S ERVISOR PLANS COUNTER REVIEW REVIEW REVIE REVIEW REVIEW ''rrffEglY3 W ` DATE RECEIVED DATE COMPLETED 2- •I Rev.8/2/17