HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/11/2018 SCANNED Permit Number:
By
St. Lucie County RECEIVED
Building Permit Application SEP 14 2018
Planning and Development Services ty Pejrmitting
Building and Code Regulation Division ST. Wde county, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial XX Residential
I PERMIT APPLICATION FOR: Roof III
I PAnPr)rFn IMPRnVFMFNT LOCATION:,
Address: 4343 N US #1
Legal Description: 20 34 40 FROM NE COR OF SE 1/4 OF NE 1/4 RUN N 88 DEG 07 MIN W ON IN 1/4 1/4 SEC LI
(OR 3738-2562
Property Tax ID #: 1420-141-0003-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
D"EITA61-OUDESCRIPTION OFWORK:,
Right Side: _ Left Side:
Lot No.
Block No.
Remove existing flat roof and tapered board. Replace tapered board with slope to drain. Install Polyglass peel-n-stick base sheet and cap
sheet over tapered board.
CONSTRUCTION INFORMATION:
Aci�iiionial work to be ne orm a under this permit —check
OHVAC FIGas
all apply:
Shutters
Windows/Doors
Gas Tank
Pi.
Electric Plumbing
[]Sprinklers
Generator
Flat Roof pitch
21 Roof F
Total Sq. Ft of Construction: 4592
S Ft of First Floor: 988
Cost of Construction: $ 45,0()Q-oo
Utilitiest] Sewer 0 Septic
Building Height: 16 It
-OWNER/LESSEE:
CONTRASI��_� _Z
Name
Name:
Acldress:_�
Company: VWM Enterprisei& Son, Inc
City:,&M CA, State:FI
Zip Code: 34990" Fax:
Phone No.
Address:
City: State:FI
Zip Code: 34945 Fax:
Phone No. 772465-9373
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: wandagahn@aol.com
State or County License: CCCII 326015
If value of construction is �2suo or more, a RELUKULU Notice oT Lommencemem is requireu.
".' . . I
-SUOLE M' t"N'�T-A'L,CONSTki)CTION�'LIEN
LAWA
OIN:
'0 MATH
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:4343N US#1
Address:
City: State: F1
Zip: Phone
City: State: fl
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. Lucie County makes no representation that is granting a permitwill 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 rel;ording ur Notice of Commencement.
Signature of Owner/ Les,se(fContractor Agent for Owner
i Contractof c — se Holder
Signature(of
STATE OF: FLORIDA
A� �h
STATE OF FLORIDA
U.
COUNTY OF � .
COUNTY OF. I , t
The f (going instr entw sacknowledq%dbefore me
by
If-
The f Ing instrWnent %tas acknowledgeg7before me
th is a day of 20_10 by
this L day of. 20LL
Q9*
Wanda Gahn
Wanda Gahn
Name of pe7 making statement
Name of pepn making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
4A
(Signature of Notary Public- State orFio�rlda
(Signature of Notary Public- State of Florida
Commissio - � IN S. ffffCS E N
Commission No.
Al';Ay KAREN S. NIE:
" _%
_&Stste
St
AW101A ate of Florida -Notary Public
--I?
Z , of Florida-Notb.
Commission # GG 207484
'� commission # G(.-.
Lim
;;aISOR
Y Ommissior.
12
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REVIEW_�M'
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17