HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date Permit Number:
_ _ I
-- 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 Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION: ..
Address:10725 S Ocean Dr. Unit 145 Jensen Beach, FL 34957
Legal Description: Holiday Out at St Lucie BLK 1 LOT 5 and Equal Pro-Rata Interest in Common
Elements(Or 1259-2170) j
Property Tax ID#:4511-501-0268-000-5 Lot No. 5
Site Plan Name: Block No. I
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
2y_..:.11..
Tear off existing shingle roof and install new 5V mill finish roof
CONSTRUCTION INFORMATION:
Additional work to
— a orme under t is permit–check aMutters
py:
❑Windows/boors
❑HVAC �GasTank ❑Gas Piping
11 Electric E]Plumbing ®Sprinklers _ enerator
Roof
Total Sq.Ft of Construction: 772 Sq.Ft.of First Floor:
Cost of Construction:$ 59600.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR: ��
Name Robert and Vondra Humphreys Name:Ronald Latta
Address: 18356 Hall Rd Company:Treasure Coast Concepts Inc.
city: Casanovia State:MI Address: 3458 SW Pluto St
Zip Code:49318 Fax: City: Port Saint Lucie State:FL
Phone No.616-893-4251 Zip Code: 34953 Fax: 772-905.4910
E-Mail: Phone No. 772-777.8130
Fill in fee simple Title Holder on next page(if different E-Mail: tcconcepts@aol.com
from the Owner listed above) State or County License: CCC1330362
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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improvements to your property.A Notice of Commencement must be recorded and posted on the iobsite
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