HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�. 7-31-15 Permit Number: lsbe - COLII.
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Building Permit Application 9104 i t 9nV
Planning and Development Services
Building and Code Regulation Division
2300VIrginla Avenue,Fort Pierce FL 34982
Phone.- (772)462-1553 .Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION.
Address: 201 Julian Drive Ft.Pierce Florida
Legal Description: RIVERVIEW MANOR BLK C LOTS 7 AND 8(OR 1441-2487:3177-2866)
Property Tax ID#: 1408-703-0073-000-5 Lot No. 7&8
Site Plan Name: Block No. C
Project Name:
Setbacks Front Back- Right Side: Left Side:
DETAILED DESCRIPTION Of WORK:
Remove existing shingle roof.Re nail plywood to code.Install 2 layers of elastoflex SA
CONSTRUCTION INFORMATION:
Additional work tobe r) rtormed under this permit–check all that apply:
0HVAC U Gas Tank F]Gas Piping LJ Shutters F]Windows/Doors
11 Electric F]Plumbing' FISprinklers [ j Generator Roof 3:12
Total Sq.Ft of Construction: 3220 SFt of First Floor:
Cost of Construction:$ $10,300.00 Utilities:11 Sewer aseptic Building Height: 12'
OWNER/LESSEE: 'CONTRACTOR:
Name Ronald Dawson Name:
Address: 201 Julian Drive Company: The Roof Authority,Inc
City:- Ft Pierce State:Fl, Address: 6771 N.Old Dixie Hwy
Zip Code: 33325 — l,
Fax: City: Ft.Pierce State: F
Phone No. 954-475-8831 Zip Code: 34946 — Fax: 772-468-2247
E-Mail: rdronalddawson@gmail-com Phone No. 772-468-7870
Fill in fee simple Title Holder on next page(if different E-Mail: tim@theroofauthority@gmail.com
from the owner listed above) State or County License: CM0,96933
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,:
DESIGNERANGINEER: 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: —Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: -Phone: Zip: Phone:
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 ancovenants 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
improve I ments 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, corl.�q attorney before
,Q�
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commencing work or recording your Notice of Commencemeu?'011
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Signature of Owner/Lessee/Agent S r/License R-olcrer
STATE OF FLORIDA . STATE OF FLORIDA
COUNTY OF n inn R iv r r COUNTY OF I hrl t 0 Q 'Rik) f Y-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -5 1 day of Ju I\I , 20 L5 by this�day of If,I t-\1 ,20 _L5_by
R n�, I rel IN w snn 0 h ire Dh e-C 1 Q 0
(Name of person acknowledging) (Name of person a&-ndwledging)
(Signature of Notary Public-State of Florida J (SignatureofNotary Public-State of Florida
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced 17-L 1-1 E:7 Type of Identification Produced
Commission No; F 8 9-18 G ob (Seal) Commission No. EFOR-18 6 (Seal)
Revised 07/15/2014
y CATHERINE NEWMAN
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