HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED JJ �
Date: 02-26-2016 Permit Number: 151 f
o - -
Building Permit Application MAR 0 2 20%
Planning and Development Services PEPrAITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2909 S 25TH ST
Legal Description: 20 35 40 FROM NE COR OF N 1/2 OF SE 1/4 OF SE 1/4,TH N 87 42 42 W 40 FT TO POB:TH CONT N 87
42 42 W 458.72 FT,TH S 00 00 00 E 284.88 FT,TH S87 42 42 E 458.72 FT,TH N 00 00 00 W 284.88 FT TO POB-(3.00 AC)(OR 3542-1300)
Property Tax ID#: 2420-441-0001-000-8 Lot No.
Site Plan Name: Block No.
Project Name: LAKE FOREST PARK
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: ' -
TEAR OFF EXISTING ROOF TO DECK, RENAIL TO CODE, INSTALL NEW MOD BIT TORCH
DOWN SYSTEM ON 675 SQ FT FLAT ROOF IN BACK OF BUILDING
[CONSTRUCTION INFORMATION:
Additional work toe n'ertormed under tispermit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 675 S Ft. of First Floor: 39,348
Cost of Construction:$ 4725 Utilities:Sewer E]Septic Building Height: 2 STORY
OWNER/LESSEE: CONTRACTOR:
Name 2909 SOUTH 25TH ST HOLDINGS LLC Name: CHARLES RICHARDS
Address:2909 SOUTH 25TH ST Company: ALL AREA ROOFING
City: FORT PIERCE State:_ Address: 3921 S US HIGHWAY 1
Zip Code: 34981 Fax: City: FORT PIERCE State:FL
Phone No.727-410-9301Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: SONIA@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC1326177
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: FL ENGINEERING&TESTING Name:
Address:250 SW 13TH AVE Address:
City: POMPANO BEACH State: FL City: State:
Zip: 33069 Phone: 866-781-6889 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X 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 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
commencing work or recordinavour Notice of Commencement.
�\ s
gnature of Owner/Lessee/Agent Signa re of Contractor/License FTolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrurgnt was acknowledged before me Theforgoing instrument was acknowledged before me .
thisday of O 20 1by this day of �- 20 i`e by
CHARLES RICHARDS CHARLES RICHARDS {,n Piia•.,
(Name of person ackn %dW g% (Name of person ackno md g'1• MY COMMISSION#FF125420
MY COMMISSION#FF125420 'o
=�` a= '•', 'aFo?. EXPIRES May 21, 2018
EXPIRES May 21, 2018
(407)7)
398-0153 FloridallotaryService.com
(407)398-0153 FloridallotaryService.com
RJ(Sia ur4UfNUa
ublic-State of Florida) (Sig of tary ublic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS