HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/2/17 Permit Number: (� 10 -01 0q
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Building Permit Application OCT ' a��7.
Planning and Development Services
Building and-Code Regulation Division P<< ..:
St.
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: I
Address: 5300 LL CQ.
Legal Description: OCEAN RESORTS CO PERATIVE SITE 201 (OR 981-1531)
Property Tax ID#: 1410-502-0201-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF[(MOBILE_H.OME)_ 9
2 SKYLIGHT TO BE INSTALLED ALSO
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit–clecl all appy:
HVAC Gas Tank Gas Piping _Shutters ]Windows/Doors
Electric ElPlumbing Sprinklers Generator Roof Roof pitch
i
Total Sq. Ft of Construction: 1100 SFt.of First Floor:
Cost of Construction:$ 6200 Utilities: Sewer Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:',
Name ►rYlon .e - Name: (SIS
Address: )Sib UD W.,SCMSLn Phi-e- 040�3(( Company: ALL AREA ROOFING
City: (7)�_-,Q n c)m oLoo(2-- State:WI Address: I 5 us HW
Zip Code: 53066 Fax: City: r- f— State:FL
Phone No.248-210-4148 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above) State or County License: C-CC1326177
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 dr an attorney before
commencina work or recording our NoticgAf Commencement.
12 .4
Signat Owner/Lessee/Contractor as Agent for Owner Sign re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this z day of OCTOBER 20 /r7 by this z day of OCTOBER 20r by
CHARLES RICHARDS CHARLES RICHARDS
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State a"�orida) (Signature of Notary Public-State of Florida)
aot�,..,Bro, FAITH MASON "Ay Pv FAITH MASON
OMMISSION#GG003939 ?o'����''0
Commission No. t •, � �} Commission No. * MYIIISION#GG 003939
1�1c� EXPIRES:June 20,2020 A oe EXPIRES:June 20,2020
� pP pLOE`� Bonded Thru Budget Notary Senrlces Bonded Thru Budget Notary SeMcos
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17