HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/2512018 SCABNrNED permit Number: N11-6QV9
_. " . _ St. Lucie County
-knuislig RECEIVED
Building Permit Application NOV 13 7019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
1e
Address: 417 Angle Road, Fort Pierce, FL 34947
Legal Description: 417 Angle Road
Property TaxID#: 2408.21 3.0003-000.3
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED, DESCRIPTION OF WORK:
Lot No.
Block No.
new edge metal on parapet walls and new base flashings. Florida Product Approval FL14207-R17
'CONSTRUCTION INFORMATION:
HVAC ❑ Gas Tank ❑Gas Piping ❑ Shutters ❑ Windows/Doors
Electric El Plumbing Sprinklers ❑Generator MX Roof [2Ej Roof pitch
Total Sq. Ft of Construction: 5675
Cost of Construction: $ 42,500.00
S Ft. of First Floor:
Utilities: Sewer ❑ Septic
Building Height: 20
OWNER/LESSEE:
CONTRACTOR:
Name Liberty Scrap Metal Plant 2 Inc.
Name: Christopher A. Long
Address: 614 Hermitage Circle
Company: The Roof Authority, Inc.
City: Palm Beach Gardens State: FL
Zip Code: 33410 Fax: 561-835-9734
Phone No. 772-216-5312
Address: 6771 North Old Dixie Highway
City: Fort Pierce State: FL
Zip Code: 34946 Fax: 772-468.2247
Phone No. 772-468.7870
E-Mail: libertyscrappl2@aol.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: tra1993@gmail.com
State or County License: CC CO56933
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Tl
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone: —111
FEE SIMPLE TITLE HOLDER: 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 attorney before
comm in work or r npyour Notice of Commencement.
Signa re ner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLOq D m (J) ,�)
COUNTY OF�7— t •✓�`
STATE OF FLORIDA /
COUNTY OF S 1 (�C[C/C—
The for�ggoing instrument as ackledge efore me
this z'i day of O L�now
. , 20 M by
The forgoing instrument was acknowledged before me
this_ day of __ . 20_ by
Name of person making statement
Name of person making statem nt
Personally Known OR Produced Identification
ersonally Know OR Produced Identification
Type of Ide-atifica Lon
Paduced`�I--
YPe o enti 'cation
Produced
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Rev.8/2/17