HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFZMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: NM J 631 I
RECEIVED
• JAN 17 2018
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
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 —
PROPOSED IMPROVEMENT LOCATION:
Address: 1252 NETTLES BLVD
Legal Description: NETTLES ISLAND IC,A CONDO-SECTION II PARCEL 1252 AND PRO-RATA SHARE IN COMMON
Property Tax ID#: 4502-501-1439-000-4 Lot No.
Site Plan Name: MURPHY Block No.
Project Name: MURPHY
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND REPLACE.
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit—check all apply:
HVAC Gas Tank []Gas Piping In Shutters ❑Windows/Doors
0 Electric ❑ Plumbing ❑Sprinklers M Generator Roof 412 Roof pitch
Total Sq. Ft of Construction: 10 SQUARES S . of First Floor:
Cost of Construction:$ 4,705.00 Utilities:Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MURPHY,JOHN&KIMBERLY Name: JOHN TURNER
Address: 1300 SE MACARTHUR BLVD Company: STUART ROOFING
City: STUART State:FI_ Address: 140 NE DIXIE HWY
Zip Code: 34996 Fax: City: STUART State:FL
Phone No.772-888-1000 Zip Code: 34994 Fax:
E-Mail: Phone No. 772-692-9854
Fill in fee simple Title Holder on next page(if different E-Mail: stuartroofinginc@comcast.net
from the Owner listed above) State or County License: CCC-024411
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:MURPHY,JOHN s KIMBERLY Name:JOHN TURNER
Address:1252 NETTLES BLVD Address: 1300 SE MACARTHUR BLVD
City: STUART State: City: STUART State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:140 NE DIXIE HWY Address:
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.
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 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.
U
Sign? ure of Owner/Lessee/Contractor as Agent for Owner Sign re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledgedbefore me
this 2ND day of JANUARY 20 1% by this 2ND day of JANUARY ,20 1'6 by
JOHN TURNER JOHN TURNER
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identific ' n Type of Identification
Produced Produced
(Signature of Notary Publi FlER_ (Signature of Notary Pu I i e o NER
or
is�°n#FF 922696 _.: :._ Commission# F 922696
Commission No. _ Ex it September 30,2019 Commission No. '� Expires @*er 30,2019
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17