HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONBpi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: L E 3�3 /
Building Permit Application
Planning and Development Services RECENED
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 MAR 12.1019
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
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PERMIT APPLICATION FOR: Roof a county
PROPOSED IMPROVEMENTLOCATION:
Address: 2300 Virginia Ave Ft. Pierce, FL 34982q Lo—`is8csJ ldg)J g a S-
Legal Description:
Property Tax ID #: 2416-504-0770-000-8 Lot No.
Site Plan Name: Block No.
Project Name: St Lucie County Logistics Bldg Re -roof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: III
Re -roof: Flat roofing i. ReCOVeXy
CONSTRUCTION IN
11HVAC Gas Tank
11 Electric Plumbing
Total Sq. Ft of Construction: 112,729
Cost of Construction: $ 682,500.00
SCANNED
BY
St. Lucie County
Gas Piping I__IShutters ❑Windows/Doors
Sprinklers 11 Generator Roof 9/F Roof pitch
S . Ft. of First Floor:
Utilities:ll Sewer 11 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St. Lucie County _ _ — _ _ _ _
Name: Dave_ Wikel
Address:2300 Virginia Ave
Company: Therma Seal Roof Systems, LLC
City: Ft. Pierce State: FL
Zip Code: 34982 Fax:
Phone No.
Address: 1421 Oglethorpe Rd
City: West Palm Beach State: FL
Zip Code: 33405 Fax:
Phone No. 561-223-2096
E-Mail:
.Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: drivera@thermasealroofs.00m
State or County License: CCC1325862
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
A
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name -
_2�
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 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 a ey before
commencing work or recording our Notice of Commencem
462�te�
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Signature —
o Owner/Less/Contractor as Agent for Owner
Signature of Contractor/Licens6 Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF Pa -rie h
The forgoing instrument was acknowledged before me
'23 JANUARY 18
The forgoing Tnstrumept was acknowledge before me
YU
this dayof PO by
this_Ldayof Y 201� by
TEREMIAH TOHNSON
Dave wlkei
Name of person making statement
Name of person i
Personally Known X OR Produced Identification
Personally Known x T uce RjW'pSV E RA
Type of Identification
Type of Identification �O"? Commission a GG 64667
PfOdUfR
Produced = " my Commission Expires
'•�„;are:•° January 22, 2021
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(Si ture of Notary Public -State of Flo NOTEPUE
i atur of Notary Public -State of Florida
Commission.No.------ ----- _ _ STATE -
RMA
mission.No: — — -_ _(Seal)-
�Ires
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SUPERVISOR
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DATE
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COMPLETED
3Il rill
Rev.8/2/17