HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 9 J n
Date: Permit Number:
Building Permit Application JAN 11 2010
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 X
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
Address: 14 Nettles Blvd.
Legal Description: Nettles Island Inc, A Condo-Section II Parcel 14 and Pro-rate Share in Common
Elements (OR 392-878)
Property Tax ID#: 4502-501-0200-000-3
Lot No.
Site Plan Name: Block No.
Project Name: Rumpler Residence
Setbacks Front Back: Right Side: Left Side:
r
Replace old shingle roof with new shingle roof.
CONSTRUCTION INFORMATIONF
1 t F h S S
Additi—on-al work to be nertormed un er t is permit-c eck all appy:
HVAC Gas Tank ❑Gas Piping _Shutters F-]Windows/Doors
❑Electric ❑Plumbing 3/12
_ bmg Sprinklers �Generator F,/-]Roof Roof pitch
Total Sq. Ft of Construction. 1 1567 SC Ft.of First Floor:
Cost of construction:$ 11,350.00 .Utilities: Sewer OSeptic Building Height: 10
OWNER/LESSLE A- CONTRAC ORr=
ar es humpler Josephy v
Name Name: n Yer
Address:14 Nettles Blvd.. Company: Seaside Rooting, Inc.
City: Jensen beach State Address: 1925 bw Jack Jamesr., Unit
Zip Code: 34957 Stuart
- 3 City= State:
Phone No. Zip Code:-34991 Fax: 283_21
E-Mail:Crump er ao .com Phone No. _
Fill in fee simple Title Holder on next page(if different E-Mail: jQeCoY seas) eroo Ing.ne
from the Owner listed above) State or County License: CCC;-1 329224
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
L':C-0N7'_'-S-TTA,U`JQ ION:11 EN-,,L'A,._W5l ffii',ORKX� 7
SUIP"PLEME N.T
it U
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State:- City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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 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.
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 result in your paying twice for
improvements to your property.,A Notice of Commencement must be record9d and pas on the jobsite
before thArst inNYection. If yo in to obtain financing,co pan eyffi
"ith I' �er or an 0 ey before
comm cin woyXorrecordi tice of Commencemp&t. ��7
Ve
oe s
Signa&01tcaner/Les s4e'e/C ractor as Agent for Owner Sign u C-ontractor/LfcWL"Holder
Cc
STT FLORIDA S
Tiid�i S E OF FLORIDA
Ty 0
CCWNTY OF UNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �' day of 20 by this )?1
dayby
20
(Name of ferson acknowledging) (Name of persotacknowledging) X
(Sig re of ary Public to Florida (S=ignatii ofNotary Pu hic-State of Florida
Personally Known Produced Identification Personally Known L--O�OR Produced Identification
Type of Identification Pr d Type of identification Produced
Notary Pub WOr of Florida
50"'%' NOW490a�)State of Flodda
Commission Na. Commission No.
"regory Gegl'r�E Noll
A"..
My ComrrAMy
ssion FF 951742 Ar I; Commission
FF 951742
Expires 01/1912020 MB 0=90020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS