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Home My WebLink AboutBUILDING PERMIT APPLICATION1 , ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: slots SCANNED Permit Number: Q I N. _ BY • St. Lucie Count% ECEIVED Building Permit Application �< g pp Planning and Development Services UN 26 "�:a L�T. Building and code Regulation Division ie County, Pgrmrem:�2300 Virginia Avenue, Fart Pierce FL 34982--- ' Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Roof PROPOSED'IMPROVEMENT LOCATION:;' r, Address: 10688 S. US 1, PORT ST. LUCIE, FL 34952 Legal Description: ST LUCIE GARDENS 12 37 40 BLK 4 FROM PT CO 500 FT S OF NE R OF LOT 1 BLK 4 RUN W 513.15 FT M/L To POB, TH CONT (0.60 AC) (OR 317&1859) 1 188 S US 1 PORT ST LUCIE FL 34952TRW2OPOB 06 Property Tax ID #: 3414-501-5001-200-2 Lot No. Site Plan Name: Block No. Project Name: EARLANN, LLC Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: . INSTALL WHITING HIGH PERFORMANCE SPF (SPRAY APPLY POLYURETHANE FOAM) ROOF SYSTEM CONSTRUCTION.,INFORMATION:� Aaaltional work o be e orme un ei is Perml - c ec E1HVAC ❑Gas Gas Tank Piping _ Shutters Windows/Doors 11 Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: _ 3.S190 S Ft. of First Floor: Cost of Construction: $ 15,000.00 utilities Septic Building Height: OWNERAESSEE: ' ; CONTRACTOR: ° - Name_J.R. Dempsey Name: Whiting Construction, Inc. Address: 1317 Decker Avenue Company: Whiting Construction, Inc. City: Stuart State: FL Address: PO Box 1908 Zip Code: 34994 Fax: City: Palm City State: FL Phone No. 772-223-1215 Zip Code: 34991 Fax: 772-223-1215 Phone No. 772-223-1215 E-Mail: wci@whitingconstrucdon.com Fill in fee simple Title Holder on next page (if different E-Mail: wci@whitingconstruction.com from the Owner listed above) State or County License: CCC 033699 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Applicable Name: _Not Name: Address: Po Bo. lsoe 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 nt}oo� work or installation has commenced prior to the issuance of a permit. which is inoconflircntakes with any applicable Hoion me Owt is nerstAssocipermit tion rwill esabylaws or the dpcovenants that build ay or prohibit such restrict 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 recording our Notice of Commencement. Signature of Owner/ Lessee/Contr or as Agen for Owner Signature of C tr ctor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF MARTIN COUNTY OF MARTIN The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 24th day of June 20 19 by this 24thday of June 201k by Eugene Whiting Name of person making statement Personally Known F--'l OR Produced Name of person making statement Identification Personally Known [71 OR Produced Identification Type of Identification Type of Identification Produced Produced HtRN S ture of Not (g li�` � 1�§ $I� # cGo4130s (Signature of Notary Publi - I °�',!'e. EXPIRES r24,2020 Commission No. q�df) Commission No. A MULROONEY �•: :•E _�, • • My�Q�S10N # GG04130 �.at EXPIRES October 24, 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17