HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 4,2017 Permit Number: ��1 d G 15,0
RECEIVED OCT 0 9 2017
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 XX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 South Ocean Drive, Lot#A16,Jensen Beach, FL 34957
Legal Description: See attached
Property Tax ID#: 4511-311-0020-000-2 Lot No.
Site Plan Name: Block No.
Project Name: McAllister
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove entire 22sq of existing roof shingles system. Install new GAF Timberline Dimensional Shingle
with new flashing, boots, jacks and pipe vents.
Install (2) Miami Dade Impact rated skylights,
CONSTRUCTION INFORMATION:
Additional work to be performed un ert ispermit—check all appy:
HVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors
11 Electric Plumbing Sprinklers Generator W1 Roof 412 Roof pitch
Total Sq. Ft of Construction: 22 sqs S . Ft.of First Floor:
Cost of Construction:$ 10,000.00 Utilities:Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Richard/Libby McAllister Name: Crystal Anderson
Address:118 Hay Field Lane Company: Olneya Restoration Group, L.L.C.
City: Stedman State: NC Address: 4253 SW High Meadow Avenue
Zip Code: 34957 Fax: City: Palm City State. FL
Phone No.910-728-2371 Zip Code: 34990 Fax: 772-925-8417
E-Mail:rw48mcallister@gmail.com Phone No. 772-222-5019
Fill in fee simple Title Holder on next page(if different E-Mail: Ilawrence@olneya.Com
from the Owner listed above) State or County License: CCC1330974
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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�SUpP,PLEMENI'A �C`ONSe tRUC�IOkN�LIENxIAWF INF®RMATIOf�C'b � x�' { _ � rti 4 ,�'v,.�y '�,
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name:.
Address: Name:
Address:
"City: State: .City: State:
Zip. Phone: Zip: Phone::
FEESIMPLE TITLE HOLDER: _ Not'Applicable BONDING COMPANY: Not Applicable
Narne: 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'Coun%y makes no representation that is'granting apermit will authorize the permit holder-to build the subject-structurewhich 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 okhe_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.
Thet`ollowing building permif.applications are exempt`from iindergoing.a full concurrency review:room;additions;
accessory:structures,swimming pools,Jences,walls,signs,screen rooms and accessory'uses to another non.residential use
.WARNING TO OWNER:Your-failure to Record a Notice of.Commencement rhay 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°wor'k'or recordlh . our Notice of Commencement.
Signature o Owner/Lessee/Contractor as Agenf for Owner Signature of. ontractor/License Holder
,STATE OF FLORIDA / STATE OF`FLORID�
COUNTY OF At �A.C_ COUNTY OFY LcL4
The forgoing instru en was acknowledged before me The forgoing ins ument was acknowledged before me
this day of 20 h by this U_day of :20 k7 '%by
(Name of per. acknowledging.) (Name of pe on acknowledging)
Signature f otary Public-State of Florida) (Signatureo Notary Public-state of'Florida.)
Personally Known OR Produced:identification Personally known_ OR Produced Identification
Type'ofatlentificatio Produced Type of identification Produced
Commission No:� "�ME ��Nf1TQAW Commission No.l� �EAE1`tawofTE IfNdg
Notify I0u1Sl1€=� Ertl€_�f�t�®ffl®ri��
commliilon W GG®§9499
M Comm,(xcimA r94,2021
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.Revised.07/15/201=1
REVIEWS FRONT ZONING ;SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER 'REVIEW REVIEW REVIEW REVIEW REVIEW REVI[1N
DATE
COMPLETE
INITIALS