HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (Acc)kl" Permit Number:
_ K RE �r�
Building Permit Application JUN 13 2016
Planning and Development Services PERMITTiNG
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 Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5506 Oleander, Ft. Pierce, FL 34950
Legal Description: White City Estates Blk 1 Lot 2(0.49 AC) (OR 785-222)
Property Tax ID#: 3410-6010002-000-7 Lot No.2
Site Plan Name: Block No. 1
Project Name: House
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
MAINTENANCE WORK:
RECOAT AND RENEWAL OF WHITING SPF (SPRAY POLYURETHANE FOAM) ROOF
I
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all appy:
HVAC Gas Tank F]Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator a Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
11 Cost of Construction: $ 2,400.00 Utilities: Sewer Septic Building Height: 10 Ft..
OWNER/LESSEE: CONTRACTOR:
Name Gretchen Green Name: WHITING CONSTRUCTION,INC
Address:204 East Harbor Ave. Company: WHITING CONSTRUCTION,INC
City: Port St. Lucie State:FL Address: PO BOX 1908
Zip Code: 34952 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: karithonnes@whitingconstruction.com
from the Owner listed above) State or County License: CCC 033699
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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
_Signature o r/Lessee/Agent Signature of Contra to /License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF t- A c-,.�-G',, COUNTY OF MARTIN
The fo oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 Eby this 9th day of JUNE 20 16 by
Nv-Nr. GENE WHITING
(Name of person acknowle ng) (Name of person acknowledging)
�N
(Signature of Notary Public-Stat0of Florida ) (Signature of Notary Public-State of rida )
Personally Known �- OR Produced Identification Personally KnownF✓ _OR Produced Identification
Type of Identification Produced Type of Identification Produce
1k"'," <•h ANNA MULROONEY �?'"'•°�; ANNA MULROON
Commission No. _{' , "r. MMISS1vN� RO EE.835031 Commission No. -ti k: &f MISSION#EES350:1
';�+ •�
EXPIRES September 16,zIJ?B ;;, EXPIRES September 16,20
09)398•Q�_t��3PorldaNckaty5erme.com <,.^.
Revised 07/15/2014
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