HomeMy WebLinkAboutPermit swanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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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
I PERMIT APPLICATION FOR: Roof El I
! PROPOSED IMPROVEMENT LOCATION: I
Address: 10725 S OCEAN DR LOT 505 JENSEN BEACH FL 34957
Legal Description: HOLIDAY OUT AT ST LUCIE - SEC B BLK M LOT 3 AND EQUAL PRO -RATA INTEREST IN COMMON
ELEMENTS (OR 716-0718; 3015-682)
Property Tax ID #: 4511-502-0003-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW 30 YEAR ARCHITECTURAL SHINGLES
Mobile Howie with a 3/12. pitch
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Elsie Swan (LF EST)
Name: Ronald Latta
Additional work toe e orme under
HVAC E] Gas Tank
this permit - check
nGas Piping
a appy:
_ Shutters
Windows/Doors
FlElectric R Plumbing
Sprinklers
E] Generator
a Roof
Total Sq. Ft of Construction: 858
Cost of Construction: $ 4,000.00
SFt. of First Floor:
Utilities cn Sewer 1:1 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Elsie Swan (LF EST)
Name: Ronald Latta
Address: 10725 S Ocean Dr Lot 505
Company: Treasure Coast Concepts Inc.
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 763-244-0990
Address: 3458 SW Pluto St
City: Port Saint Lucie State: FL
Zip Code: 34953 Fax: 772-905-4910
Phone No. 772-777-8130
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: tcconcepts@aol.com
State or County License: CCC1330362
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.