HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: Vso5- z)1.5
RECEIV D
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 0 Residential
PERMIT APPLICATION FOR: Roof— C �yV%
PROPOSED IMPROVEMENT LOCATION:
Address: 10540-10558 US 1,PORT ST LUCIE, FL 34952
Legal Description: ST LUCIE GARDENS 12 37 40 BLK 1 N 207.21 FT(AS MEAS ALG E RNV US 1)OF S 112 LOTS 12 AND 13
LYG ELY OF US 1 (1.43 AC)(MAP 44/12N)(OR 2345-1527)
Property Tax ID#: 3414-501-4712-250-7 Lot No. 1
Site Plan Name: Block No. 12&13
Project Name: PELICAN PLAZA
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIP -
TION OF`WORK:
MAINTENANCE WORK:
RECOATING OF FLASHING AREAS ON WHITING SPF(SPRAY APPLIED POLYURETHANE FOAM) ROOF
CONSTRUCTION:IN'FORMATIQN:
. Additional wor toe e orme under this permit—check a appy:
HVAC 11 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
F]Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2,400.00 Utilities: Sewer RSeptic Building Height: 10 Ft.
OWNER/,LESS(E. . CONTRAETOR:
Name J.GRIFFIN DEVELOPMENT INC. Name: WHITING CONSTRUCTION,INC
Address:1321 SE RIVERSIDE DRIVE Company: WHITING CONSTRUCTION,INC
City: STUART State:FL Address: PO BOX 1908
Zip Code: 34996 Fax: City: PALM CITY State:FL
Phone No.772-286-4365 Zip Code: 34991 Fax: 772-286-5969
E-Mail:karlthonnes@whitingconstruction.com phone No. 772-223-1215
Fill in fee simple Title Holder on next page{if different E-Mail: karithonnes@whitingconstruction.com
from the Owner listed above) State or County License: CGC 003349
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPP EMEi'TAI CONSTRtJ IION:LtEIV,LAW IN�Q{ MATIOIV:
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: _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 recording our Notice of Commencement.
s
Si ont ature of Owner) s /Agent Signature of C /L-icense Holder
ST TE OF FLORIDASTATE O
/Jq� Al COUNTY OF-MARTIN
COUNTY OF /'�
The forgoing instrument was acknowledgedbefore me The forgoing instrument was acknowledged before me
this�/ ay of 20 by this ZTIh day of APRIL 20 t 6 by
1 cz�vle s r/ / Il GENE WHITING :� 'Ypu � P A MULROONEY
(Name of person acknowledging) (Name of person acknowledging) ='t ;�� C MMISSION O EES35031
EXPt ES September 46,2016.
X, lae t407)398.0153 ioficlallotary$20iEe.orn
iJt
(Signature of Notary Public-State of Florida) Signature of Notary ublic-State of F r a)
Personally Known_t,-'OR Produced Identification Personally Known_ ✓�OR Produced Identification —
Type of Identificati ype of Identification Produce.d�_-
# �y�*%. DANETTE MOMENT
Commission No._ My C �SION ff FF 950459 ornmission No. _ (Seal)
t of EXPIRES:February 6,2020
;j�j�r�,+�--BenAeATArttN'slaty-Pu�liellndenve4er __.__.------------- .
Revised 07/15/.014
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