HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dec 12,2017
Date:
Permit Number: I�OL'�c�►�D
I
Building Permit Application
Planning and Development Services
Building and Code Regulation Division i
'2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
7PRbP0SED:I90`ROVEIVIENT LOCATION � c
Address: 345 Seahorse Ter + '
g p Tropical Tro Isles unit J 09 i
Legal Description: p� '
I '
roperty Tax ID#: 3410-508-0265-000-2 I I Lot No.
Site Plan Name: I ' Block No.
Project Name: Oft Residence
i
(Setbacks Front Back: Right Side: Left Sider
I
DETAILED DESCRIPTION•OF WORK d,> , (plfil ,
Remove current shingle roof system, inspect/repair deck and renail to code, install synthetic
underlayment, install new shingle
i
CONSTRUCTION INFORMATION
Additional wor to be performed under this permit—checR all appy:
11HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
0 Electric 0 Plumbing O Sprinklers Generator i Roof 3 2 Roof pitch
Total Sq. Ft of Construction: 1900 S . Ft.of First Floor: 1900 j
Cost of Construction:$ 6,000 Utilities. _Sewer 11 Septic Building Height: 18
10WN R/LESSEE: ,: CONTRACTOR
• . z1'ti j� i ti s
'Name David Ott Name: Cameron Cooper j
Address:345 Seahorse Terr Company: Modern construction Experts, LLC
City: Ft Pierce State:FIL Address: 3141 SE Dominica Ter
Zip Code: 34982 Fax: City: Stuart ! State:FL
Zip I 34997
'Phone No. Zi Code: I � ' Fax:
E-Mail: Phone No. 772-600-7872
!Fill in fee simple Title Holder on next page(if different E-Mail: jenni@mcezperts.net
from the Owner listed above) State or County LicI ense: CCC042804
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
• I ,
i I
I
•
SUPPLEMENTAL CONSTRUCTION LIEN LA—WORMATION: IS
DESIGNER/ENGINEER: Not Appl' le MORTGAGE COMPANY: —Not Applicable
Name:David Ott Name:Cameron Cooper j
Address:345 seahorse Ter Address: 345 Seahorse Tarr
City: Ft Pierce State: City: Stuart State:
Zip: Phone Z Zip: Phone:
FEE SIMPLE TITLE HO ER: _Not Applicable BONDING COMPANY: y Not Applicable
Name: Name: I
Address:3141 SE minicaTer Address: 000l '
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.
certify that no work or installation has commenced prior to the issuance of a permit. j
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.
I;
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 resulti'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 or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner nature of Contra f icern'se Holder
i
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL LUC1B COUNTY OF Martin
The forgoing instru ent was acknowledged before me The forgoing instrument waslacknowledged before me
this J�day of 20 -by this day of ,20by
David Ott Cameron Cooper
Name of person making statement Name of person making statement
Personally Known OR Produced Identification xx Personally Known x OR'Produced Identification
Type of Identification Type of Identification'
Produced DL Produced
(Signature lot Notary Public-State of Florida) Signature of N tarylPublic-State of Florida)
Commission No .°"YPv9�,= ' dOVN��'( �®N Commission NQ�; `. A NE
MY COMMISSION#FF221909
";FeF.• EXPIRES April 19.2019 , MY COMMISSION#FF221909
1 gff'•e'D��� EXPIRES April 19.2019
(407) U-0153 I Iondallom ySenrice.corr. rt
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE Ai�1GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
I �
i