HomeMy WebLinkAboutBuilding Permit Application i
I
i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:JI II • ���0
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
I
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S OCEAN DR,JENSEN BEACH,FL 34957 Fa
Legal Description. VENTURE OUT AT INDIAN RIVER INC LOT 856(OR 1053-385)
5 ,
Property Tax ID#: 4511-510-0057-000-1 Lot No. 856
Site Plan Name: Block No.
I
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: 1M
Remove existing shingle roofing system and install new architectural dimensional;shingle roofing
system.
Roof pitch 3/12 slope I
I i
CONSTRUCTION INFORMATION:
Additional wor to be nertormed under this permit—check all that appy:
11HVAC _Gas Tank Gas Piping _Shutters O Windows/Doors
I
Electric 0 Plumbing Sprinklers Generator II/ Roof Roof pitch
7 '
Total Sq. Ft of Construction: 1200 S Ft.of First Floor:
5,870.00 � I ' ' 1 story
Cost of Construction:$ Utilities: Sewer Septic i Building Height:
OWNER/LESSEE: CONTRACTOR:
Name KARL RATTI Name: RICARDO LARA
Address:10701 S.OCEAN DRIVE LOT 856 Company: ELITE ROOFING1S0LUTIONS
City: JENSEN BEACH State: FL Address: 812 SE LINCILN AVE
Zip Code: 34957 Fax: City: STUART I State: FL
Phone No. Zip Code: 34994 j Fax:
E-Mail: Phone No. 772-6434663 3 1
Fill in fee simple Title Holder on next page(if different E-Mail: ELITEROOFERS a&PL.COIV
from the Owner listed above) State or County License: C6C13301337
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
I �
'
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ARM a; 1 ,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: I State:
Zip: Phone Zip: Phone:
.I I
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: 'I
City: City: .I
Zip: Phone: Zip: Phine:
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 thepermit holder to build,the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covehants 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 allirespects,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�eview:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to andther non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement mays 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 inppe4ion. If you intend to obtain financing,consult with der or an attorney before
commencing wowgr recording our Notice of Commencement. I
I
Signa re of Owner/Lessee/Contractor as Agent for Owner Signat of Co ractor License Holder
STATE OF FLORIDA ST/.(TE OF FLORIDA
COUNTY OF /J? � COUNTY OF Rfwh/-9
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this a� day of IVoVPw+ 6 20 �7 by this day of 20 f`I by
&4e,I, Z H7ZJ� e c�o �1'
Name of person making statement Name of person making statement
Personally Known_ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification j
Produced Produced
(Signature of Not Iu�lic-$ @sd AmisIFFAsano (Signa ure of Notary Public-State of Florida)
NOTARY PU LI Theresa AnneFas o
Commission N a E OF F� ��A Commission (Seal)
PUBLIC
Comm#GG126275 STATE OF FLORIDA
N 910
Com
7
/19/2M
� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIO
1VTi 1 A�TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE i
I RECEIVED I
DATE
COMPLETED
Rev.8/2/17
I i
i
I
i
i