HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED --t
Date: October 23,2017 Permit Number:
• . . RECEIVED
Building Permit Appl7tCT
Planning and Development Services 2 4 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ng %oartment
Phone: (772)462-1553 Fax: (772)462-1578 Commercial C)��d� L
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 South Ocean Drive, Lot#846,Jensen Beach, FL 34957
Legal Description: Venture Out at Indian River Inc Lot 846(OR 434-5312;3493-1762)
Property Tax ID#: 4511-510-0047-000-8 Lot No. 846
Site Plan Name: Block No.
Project Name: Merchant
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove entire 9sq of existing roof shingles system and TPO system. Install new GAF Timberline
Dimensional Shingle with new flashing, boots, jacks and pipe vents. Install impact rated skylight.
CONSTRUCTION INFORMATION:
Additional work toe e Orme under this permit—check a appy:
HVAC 11 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric El Plumbing Sprinklers FIGenerator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 9sq S Ft.of First Floor:
Cost of Construction:$ 4,900.00 Utilities:Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Beverly Merchant Name: Crystal Anderson
Address:10701 South Ocean Drive, Lot#846 Company: Olneya Restoration Group, L.L.C.
City: Jensen Beach State:FL Address: 4253 SW High Meadow Avenue
Zip Code: 34957 Fax: City: Palm City State. FL
Phone No.772-229-5139- Zip Code: 34990 Fax: 772-925-8417
E-Mail: 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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DESIGNER/ENGINEER: � Not Applicable MORTGAGE COMPANY; Not Applicable
Name:. ..Name:
Address: Address:
-City: State: City: State:
Zip: Phone: .:Zip: Phone::
FEESIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: , Not Applicable
Name: Name:
.Address: Address:
City.: City:
Zip: .Phone: Zip: Phone:
l:ceetifythat.no work•or installation has commenced prior to the issuance of a permit.
St.Lucie'Countyy makes no representation that is'granting a permit will authorize the permit holder.to build'the subject-structure-Which is-in'confiict with any applicable Home Owners.Association rules,bylaws or and covenants that may,restrict or prohibit-such
structure:•Pleaseconsult with your Home Owners Association and review your deed for any restrictions'which may,apply.
Inconsideration%of:the-granting.of this requested permit, I do-hereby agree that I_Will,in all respects,perform the work
in accordahce with the:approved plans,the Florida Building Codes and St.Lucle County Amendments.
The-following building perrhif:applications are exempt-from undergoing a full concurrency review:room additions,
accessory:structures,swimming pools,'fences,walls,signs,screen rooms and accessoryuses 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 th_e first inspection. If you intend to obtain:financing, consult with lender or an attorney.before
c mencin vork'or recording our Notice of.Commencement.
Cry CSR/1�� ' s
Signature of'Owner/Lessee/Contractor as Agent for Owner Signature of.Contractor/License Holder
',STATE'OF FLORIDA STATE OF'FL?flA.
COUNTY OF Wav-h h COUNTY OF 1 Y 1O'k
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2&day of Ocrolo - 20 My this A.day of20 �by
MEater L0LW1/nem
(Name�of son acknowledging.) {Name of p r on acknowledging)
{Signature__ otary Public-State of Florida) -{Signatu f Notary Pub'c-State of Florida..)
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OR Produced:ldentiflcation . nown 7. OR Produced Identification.
Type'of'Identification Produced f Identification Produced
MEGA J A A NC
Notary public-StateofF or �m fission No!✓
CommI55i0n No: commissiolOGG,09y 7 typt"", MEGANJEANETTELAWREN
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