HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONe
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/P-8/2019
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578
SCANNED Permit N'umber:
BY
St. Lucie County REEEIVED
AUG Y 8 n19
Building Permit Application _�cic county, Permitting
Commercial X Residential
PERMITTYPECOMMERCIAL RE -ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 9200 ONE PUTT PLACE
Property Tax ID #: 3334-501-0005-0008
Site Plan Name:
Project Name: ISLAND CLUB PGA VILLAGE POA CLUBHOUSE - FLAT ROOF REPLACEMENTS
DETAILED DESCRIPTION OF WORK:
RE -ROOF (4) FLAT ROOF AREAS AS PER PLANS & NOA-FLORIDA APPROVALS
Lot No.
Block No. D
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
—Mechanical
Electric
Gas Tank
— Plumbing
Total Sq. Ft of Construction: 6,682
Cost of Construction: $ 83,918.00
—Gas Piping
— Sprinklers
Shutters
Generator
Sq. Ft. of First Floor:
Utilities: —Sevver _Septic
—Windows/Doors
X Roof .05112 Pitch
Building Height: 20'
OWNER/LESSEE:
CONTRACTOR:
Name— PGA VILLAGE PDA INC
Name: ROBIN BIDLOFSKY
Address: 9200 ONE PUTT PLACE
Company* SECURITY ROOFING SYSTEMS INC
City: SAINT LUCIE COUNTY State: FL
Zip Code: 34986 Fax:
Phone No. 772-626-3876
Address:2960 NW BOCA RATON BLVD STE 11-12
City: BOCA RATON State: FL
Zip Code: 33431 Fax: (954) 584-7849
Phone No (561) 732-2906
E-Ma il: D1ANEB@1angmana9ement.mm
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Ma il mbin@secufitymofing.com / mafing@secudtymofing.com
State or County License CCC1325894
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
0.
SUPPLEMENTAL CONSTRUCTION'LIEN LAW INFORMATION:
DESIGN ER/ENGI NEER:
Name:
X NotApplicable
MORTGAGE COMPANY:
Name:
X NotApplicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
X NotApplicable
BONDING COMPANY:
Name:
x 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.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co Wict 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 COMMENCEM MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF IME CEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YO T D TO OBTAIN FINANCING, CONSULT
T
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR 11 CW COMMENCEMENT."
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STAT L RIDA
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icense Holder
STATE OF FLORIDA
COUNTY OF�NTLUCIE
COUNTY OFPALMBFACH
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