HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/10/2016 Permit Number: (on - �J
Building Permit Application MAY 17
Planning and Development Services 2016
Building and Code Regulation Division PS:R IITTING
2300 Virginia Avenue, Fort Pierce FL 34982St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial F✓. _ Residential
PERMIT APPLICATION FOR: Roof
PRaPOSED IMPR01l -MENT LOCAT[f3N `
' ..�, .3�� �. �.�. .. .. .�
Address: 10570 US 1, PORT ST LUCIE, FL 34952
Legal Description: ST LUCIE GARDENS 12 37 40 BLK 1 S 1/2 LOTS 12 AND 13 LYG ELY OF US1-LESS N 207.21 FT
(AS MEAS ALG ELY R/W US 1) (1.88 AC) (MAP 44/12N)(OR 3222-423)
Property Tax ID#: 3414-501-4713-300-0 Lot No. 12&13
Site Plan Name: Block No. 40
Project Name: OFFICE BUILDING
Setbacks Front Back: Right Side: Left Side:
DETALED DESCRIPTION OF W(3RK
MAINTENANCE WORK:
RECOAT AND RENEWAL OF WHITING SPF (SPRAY POLYURETHANE FOAM) ROOF
CO[ STfUGTIt�IINFORMATION
a
AcIdNional work to be performed un er t is—permit—check all appy:
HVAC F Gas Tank Gas Pi _ Windows
/Doors
Piping Shutters Doors❑ /
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 11,000.00 UtilitiestSewer Septic Building Height: 30 Ft.
OWNERLES5EECONTRACTOR '`*
Name REALTY, LLC Name: WHITING CONSTRUCTION,INC
Address:25 TRENTON AVE. Company: WHITING CONSTRUCTION,INC
City: E ATLANTIC BEACH State:NY Address: PO BOX 1908
Zip Code: 11561 Fax: City: PALM CITY State:FL
Phone No. Zip Code: 34991 Fax: 772-286-5969
E-Mail:karithonnes@whitingconstruction.com Phone No. 772-223-1215
Fill in fee simple Title Holder on next page ( if different E-Mail: karlthonnes@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.
Slf'PLEMENTAL CONSTRUCTION LIEN LAW} INORMATIbN r
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name: %5 l'C
Address: Addr s: / /-bIV,
City: State: City: T L Q C_ G State:
Zip: Phone: Zip:21 !5� -Phone: 7"7 —
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: � /6570 /P_7 e_ 71J LLQ Name:
Addref�:/OS7 5. U / _ Address:
City:O2T ST C,uGiE e-02/ /)i4 City:
Zip: Phone: 9/7_-- V VO— O 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
commencinia work or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Co r for/License Holder
STATE OF FLORIDA. �, STATE OF FLORIDA m
COUNTY OF o COUNTY OF MARTIN r I $
M � �
K LL Nco
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The forgoing instrument was acknowledge f 9 The forgoing instrument was acknowledged before me 0n
this f 0`tay of 20 �, this 10th day of MAY 20 16 by 1 o E
� ~ � o �
x 'X o y
W a fo 9
f(� ^ E E GENE WHITING `� w
(Name of person acknowl i g) ' z (Name of person acknowledging) CL
in
O T
gn t re o ary Pu lic-State of Florida) (Signature of Notary Public-Stat&f Florida)
Personally Known OR Produced Iden Personally Known 51 OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ( (Seal) Commission No. (Seal)
e-'q ue-S Jan, CDI.Af
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS