HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q /�u
Date: February 20, 2018 Permit Number: n V C63S,
• RECEIVED
Building Permit Application FEB 21 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
St. Lucie County
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: 10701 S Ocean Drive, Lot 927, Jensen Beach, FL
Legal Description: VENTURE OUT AT INDIAN RIVER INC LOT 927 (OR 1296-2884)
Property Tax ID #: 4511-510-0127-000-3
Site Plan Name:
Project Name: Bryan
Setbacks Front Back: _
Right Side: Left Side:
Lot No. 927
Block No.
IDETAILED DESCRIPTION OF WORK: __7I
Remove entire 9sq of existing roof shingles and flat system. Re -nail roof deck to meet current code.
Install new synthetic underlayment. Install new starter. Install all new flashings, boots and jacks.
Install new GAF Timberline Dimensional Shingle.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit — check all appy:
HVAC Gas Tank []Gas Piping _ Shutters Windows/Doors
Electric F]Plumbing Sprinklers Generator Roof 412 Roof pitch
Total Sq. Ft of Construction: 740 (9 squares) Sq. Ft. of First Floor:
Cost of Construction: $ 5,000 Utilities: Sewer F]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Elizabeth Bryan
Name: Crystal Anderson
Address: 10701 S Ocean Drive, Lot 927
Company: Olneya Restoration Group
City: Jensen Beach State: FL
Address: 4253 SW High Meadow Avenue
Zip Code: 34957 Fax:
City: Palm City State: FL
Phone No. 772-229-7915
Zip Code: 34990 Fax:
Phone No. 772-222-2019
E -Mail:
Fill in fee simple Title Holder on next page ( if different
E -Mail: Ilawrence@olneya.com
State or County License: CCC1330974
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENT, CONSTRUCTION L'I;EN LAW INFORMATION;
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DESIGNER/ENGINEER: Not Applicable
Name:
Address:
MORTGAGE COMPANY:
Name:
Address:
Not Applicable
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
ANot Applicable
Address:
Address:
Personally Known OR Produced Identification
City:
City:
Type of Identification
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
rnmmenring wnrk nr recording vour Notice of Commencement.
Rev. 8/2/17
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
-
STATE OF FLORIDA �
COUNTY OF
COUNTY OF � L
,
The forgoing instrument was acknowledged before me
The forgoing instru ent was acknowledged) before me
this day of 20a by
this day of 20_ by
�,�
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Knowir)J_OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatu o Notary Public- State of Florida )
(Signature of Notary Public- State of Florida)
Commission No. (Seal)
MEGAN JEANETTE LAW
Commission No. C—I�-(-1 IJ NotaryPublK- Stateofi
:'z,
CommissionGG
r2.
., My Comm. Expires Apr 2�
'' �" oc ���:••' routNaWral Not
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17