HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:2 VA Permit Number: 01-43 3
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Building Permit Applicatio
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 xx
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 10725 S Ocean Dr 171
Legal Description: Holiday out @ St Lucie Blk I Lot 19 and Equal Pro-Rata Interest In Common Elements
Property Tax ID#: 4511-501-0282-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Bien Residence
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Remove Current Shingle roof system, Inspect and renail deck to code, install new underlayment, install
new shingle roof system
CONSTRUCTION INFORMATION:
Additional work to be Dertormed under this permit—check all appy:
HVAC Gas Tank E]Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof 312 Roof pitch
Total Sq. Ft of Construction: rs,50& 13S Sq. Ft. of First Floor: 735
Cost of Construction:$ 5,500 Utilities:0 Sewer Septic Building Height: 16'
OWNER/LESSEE: CONTRACTOR:
Name Clara Bien Name: Cameron Cooper
Address: 16123 Nola Dr. Company: Modern Construction Experts, LLC
City: Livonia State:FL Address: 3141 SE Dominica Ter
Zip Code: 48154 Fax: City: Stuart State:FI
Phone No. Zip Code: 34997 Fax:
E-Mail: Phone No. 772-600-7872
Fill in fee simple Title Holder on next page(if different E-Mail: jenni@mcexperts.net
from the Owner listed above) State or County License: CCC042804
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: XX Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Clara Bien Name:Cameron Cooper
Address: 10725 S Ocean or 171 Address: 16123 Nola Dr.
City: Livonia State: City: Stuart State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:3141 SE Dominica Ter 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
comrpentWg work recording our Notice of Commencement.
S' ure fOwn /Lessee/Contractor as Agent for Owner S na of C tra r/License Holder
STATE OF FLORI A STATE OF FLORIDA -
COUNTY OF c • (�b��e� COUNTY OF • VCS-.
The for oing instrument was acknowledged before me The forgoing instru ent as acknowledged before me
thi ay of vtl, 200r/by this ay of 20W by
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N-aTm erson making statement person making statement
Personally Know OR Produced Identification ersonally Known OR Produced Identification
Type ot Identitication Type ot I entl ication
Produced Produced
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(Signature of No ary Public-State of Florida) lgnature of N to Public-State of Florida )
:�:tJHOV NEGRON B JHOVANN GRON B
Commission No. ' ""4.• � � Commission No. '4= �$r
MY COMMISSION#FF221909 '_ MY COMMISSION#FF221909
EXPIRES April 19.2019EXPIRES April 19.2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17