HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/24/17 Permit Number:
RECEI`v rD MIAR -3 0 7017
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: 2806 Kingsley Drive Ft Pierce, FL 34946
Legal Description: Sheraton Plaza-Unit Three ReplatLot 236 (OR 3974-590)
Property Tax ID#: 1432-806-0104-000-3 Lot No.236
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove shingle roof and replace with new shingles
4/12
CONSTRUCTION INFORMATION:
Additional work toe nertormed under tispermit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 1050 SFt.of First Floor: 1050
Cost of Construction:$ 8125 Utilities:n Sewer E]Septic Building Height: 8
OWNER/LESSEE: CONTRACTOR:
Name Florida Family Rentals Name: Jamie Cisco
Address:6081 Old Ocean Blvd Company: Sunshine Roofing, LLC
City: Ocean Ridge State:_ Address: PO Box 1083
Zip Code: 33435 Fax: City: Palm City State:FL
Phone No.561-667-2266 Zip Code: 34991 Fax:
E-Mail: Phone No. 772-260-8195
Fill in fee simple Title Holder on next page(if different E-Mail: sunshineroofingllc@gmail.com
from the Owner listed above) State or County License: CCC1327796
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 thepermit 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 orrecording our Votice of Commencement.
c�
Sign ure of Owner/Agent/'Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF r I t n COUNTY OF r)--)a(-
Theforgoing instrument was acknowledged before me The forgqing instrument was acknowledged before me
this�&day of 0'4mr ' 20 1V by this 3�day of f7'Lmk ,20-J7 by
Jamie Cisco
(Name of person acknowl dging) (Name of person acknowledging)
(Signat re of Notalry Public- tate of FI ida) (Signat ure of Nota Public-ttate.of FI rida)
Personally Known OR Produced Identification X Personally Known X OR Produced Identification
Type of Identification Produced License Type of Identification Produced
Commission No. _ff P_(Seallpty PubUo State of FtorklaCO mission N 00"A Notary Public Public State
`�. Marilyn Kluegel Marilyn Kluegel
My Commission FF 23017; e` My commission FF 230179
oe
Expires Obard tJ14V I v F"", rxPlItIb UW4014V IV
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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