HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1/19 SCANNED Permit Number:\q `0�270
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Resi
JAN 2 2 2019
ST, Luclo Gcunty,
PE RMITAPPLICATION FOR. Roof
'PROPOSED IMPROVEMENT LOCATIO.N.
A,,,,. 3343 S I)S HIGHWAY 1. Fort Pierre. FL 34982
Legal Description: MARAVILLA GARDENS S/D-UNIT THREE- W 114.5 FT OF E 361.5 FT OF
S 100 FT OF LOT 175(OR 1708-1738: 1732-2201)
Property Tax ID q: 2427-601-0045-310-5 Lot No.175
Site Plan Name:_ Block No.
Project Name: Unique Tool & Die LLC
Setbacks Front Back: Right Side: Left Side:
J,?DETA)LEb DESCRIPTIONOF V1lORK
Flat One Story Roof Section of Building Only: Remove current roof down to the structual .
concrete deck. Re -roof with 1/2" Structodek Insulation and Mod Bit System. Top coat of
fibered aluminum coating. NOA No.: 14-0827.19 Expiration Date: 10/23/21
CONSTROCTION 1NFORNtATION:; '
n Y
Aaditional work to De Derrormea un ert is permit —c ec all apply:
�HVAC 1:1Gas Tank r,[:]GasPiping In _Shutters QWindows/Doors
Electric 0 Plumbing ❑Sprinklers El Generator Z Roof Roof pitch
Total Sq. Ft of Construction: 29u0
Cost of Construction:5 241779•00
Sq. Ft. of First Floor: _
Utilities: LJSewer Septic
Building Height: 101
D.. ER/I ESSM. ",
CONTRACTOR: ;. :.,
Name Ernest C Rondeau (TR)
Name: Joseph E. Jackson Jr.
Address:4525 S Indian River Drive
Company: ACR1.Com Commercial Roofing
city: Fort Pierce StatefL
Zip Code: 34982 Fax:
Phone No. 772-464-0628
Address:1924 N. Elm Street
City: Muncie State: IN
zip Code: 47303 Fax: 765-288-9551
Phone No. 765-288-8881
E-mail: unique(a)_utdlle.com
w
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E-Mail:records(cDacrl.com
State or County License: State: CCC057584
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip:
Phone
State: _
City:
Zip: Phone:
State: _
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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.
no
!e the permit holder to build the subject structure
or and covenants that may restrictor prohibit such
deed for any restrictions which may. apply.
In consideration of thegranting of this requested permit, I do hereby agree that 1 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 your Notice of Commencement.
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Sig—ftewb of Ow , ssee/Contractor as Agent for Owner
SjgnAw.%3f ContraNk2SLictinse Holder
STATE OMMM INDIANA
STATE OF OMWA INDIANA
COUNTY OF DELAWARE
COUNTY OF DELAWARE
The: forgoing Instrument was acknowledged before me
The forgoing instrument was acknowledged before me
ttl)' 21S9ay of January , 2019 by
this 21Stdav of January . 20 19 by
I, In
, )ne . Jae -SC)n
Name of person making statement
Name of person making statement
Personally Known X OR Produced Identification
Personally Known X OR Produced identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of
moor"'
(Sig
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DIANA
J"PY pU b� REBECCA SUE WILLIAMS
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PM1v%Notary Public, State o1 Indiana
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o°i*-•••• Notary Public.. tlof Indiana
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%��gorANp moo° My Commission Expi(e9
My Commission Expires
'rn,mm��°� Aprll 16, 2025
REVIEWS
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
FRONT
ZONING
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.B/2/17