HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
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 X
Residential
PERMIT APPLICATION FOR: Roof 0
PROPOSED IMPROVEMENT LOCATION:
Address: nj OA4i l f_ l'Ct� r1-- 3 / %1`!/
Legal Description: OCEAN RESORTS COOPERATIVE SITE 206 (OR -2856-30)
Property Tax ID #: 1410-502-0206-000-7
Site Plan Name: JOHN VOLLMER
Project Name: REROOF
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TAKE EXISTING ROOF OFF AND REPLACE WITH NEW SHINGLE ROOF
Lot No.
Block No.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name JOHN VOLLMER & THOMAS MILLER
Name: LEE DINENBERG
Additional work tojeperformedunder
HVAC I Gas Tank
this permit — check
E]Gas Piping
a
appy:
Shutters
a
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: 9reatroofs@freedomroofers.com
_I
_
Windows/Doors
11 Electric ❑ Plumbing
Sprinklers
7 Generator
Roof /12 Roof pitch
Total Sq. Ft of Construction: 1,346
SFt. of First Floor: 1,346
Cost of Construction: $ 6,750
Utilities:]
Sewer
Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name JOHN VOLLMER & THOMAS MILLER
Name: LEE DINENBERG
Address:5271 KEEL WAY
Company: FREEDOM ROOFERS
_
City: FORT PIERCE State: _
Zip Code: 34949 Fax:
Phone N o. 703-304-8593
Address: 5575 US HWY 1 SUITES 1 & 2
City: VERO BEACH State: FL
Zip Code: 32967 Fax: 772-217-4459
Phone No. 772-318-4600
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: 9reatroofs@freedomroofers.com
State or County License: CCC1330900
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: JOHN VOLLMER & THOMAS MILLER
_
N a me: LEE DINENBERG
Address:
Address: 5271 KEEL WAY
City: FORT PIERCE State:
City: VERO BEACH State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ` Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 5575 US HWY 1 SUITES 1 &2
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
commencin rk or recording our Notice of Commencement.
gnature of Owner/ Lessee/Contractor Agent for Owner
Slgnat of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF N�ANR En
COUNTY OF INDIAN RIVER
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged efore me
f
this 9 day of MARCH , 20Jy by
this 9 day of MARCH . 2O l
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
�L
(Signature of Notary Public
nature ot Notary Public- State of Florida )
GG076355 oSY PrkC;'., S I Ah vi TTE fdCGAOflY
Commission No. , _( UI�ryPublic-5tateofFlorida
mmission No, GG076355 'rPV'•., ($e� ETTEMCGRORY
•'
Commission a GG 076355
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My Comm. Expires Feb 23, 2021
= :. =, ovary ublic -State of Florida
N
• : : • _ Commission N GG 076355
°" '` itonacn Ihrm1 h Nt{ignal No1ar Assn.
; v roe= My Comm. Expires Feb 23, 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
roua a lonaTR37aryASSn.
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4407405 OR BOOK 4103 PAGE 1990, Recorded 03/02/2018 11:36:26 AM
Permit 'No,
State of Florida. County of St. Lucie
NO1'IC'E OF t'0MME:NC'E:MEN1'
Propertv •Tax iD No. 1410-502-0206-000-7
Chapter 713, Florida Statutes
The t`ndersigned hereby gi%'es notice that impr•a%ement will be made to certain real property. and in accordance with
, the fallowing information is pro. ided in this Notice of Commencement.
t.el:tl Description of property and address if a) ailahle OCEANRESORTS COOPERATIVE SITE 206
(OR 2856-230)
REMOVE EXISTING ROOF AND REPLACE. WITH NEW SHINGLE ROOF
General description of improvements "J -
Owner
JOHN VOLLMER
flessee
:iddre,s ~----
5?71 KEEL_ WAY. FT. PIERCE. FL 34949 _ ---
lntere-M in properh•; _OWNER_
Fee Simple Title holder (if other than oemer) NIA
Addrees /A
.
FREEDOM
.. .......... ...... .........-- —
tar
("nnfrnr f REEDOM ROOFERS—���----�` Phone >Y 772.315-4.600
Addres►0;,1,S•,US HWY 1 SUITE'S 1 8 2 VERO BEACH Ft. 32.967 Far H 77?. -2t 7-4459
NtA
Phone ti
Address
Amount of Bond NIA
Lender N/A
- —., .._� �...._..__...-._ Phone q
Ar (Iress _
fax t#
ersons within the State of Florida designated bti Owner• upon whom notices or other (lnrum�mrttav t served as provided
by'Wellon 713.13 (a} 7.. Florida Stntues: ts
Na me N/A
.Address
In addition to himself. owner designates
Thune 4
FaN 4
of
Phone # Fav it
to receive a copy of the Lienor's Notice as provided in Section 713,13 0) (b), Florida Statut". Expiration date of notice of
commencement is one year from the (late of recor(ling untes4 n different drlic is specified. tW:t,Ittit!VG 'T'() OWNER:
ANY PANAIIA 11 tit:}I)1. ItY fF11: O1,{'NGR 11 11-K FIII. CU'IRAIION OF 1'111 NOI'TC I: OF ('v:vI:�Iified.1W. RN (:(i\'�II) OWY'D I�fPRO!'F:R
KT'S Ch1>CR Cil.'13 !?. f.ti.. ,141) i'Ati RI St.L l IN } OUR PAYING M.ICI, FUR IMPROVI-MIA. I:ti fU YOUR PROPIiRTY. A XUT'1('E OF
f Y>tl\IF.`C'E�iF:\'C 111 ST' RF: ttF:('URDF;t).1N1) POS') F 1)O\ T•IIti.IOUtiI'l E nF'.Ft)RE,1,14f' I;II S't' IN81'F.('TION. IF Y(ft' I` fF.tii)'H)(101'.Ati�
HNAN('IM. ('(t\til'I'I 11'1111 N")"t I.IM)fR (A AN AI1'uRV).}' IiLFUI(1; C(f11111 t NO t}ORK UR RtC(.rRl)L\(i IN
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ener ix's ea,a Ott ncr'+MA dace's-luthnrU
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OWNER
.........------....
5iitnatnr)'w 1'i(p �'ptnce-..__
- •-
'hate of Florida, County of
Acknowledge(! before me this , day of 211, t)y
wh , p sonalh known to me or »' o has produce(! "� Y� /Jr'L ~p
as identification.
ignature of: lotar}' —"
Type or t'rlttt NatnO of lotary (Seat)
Title: Nolan Public Commission Number
LEE DINENBERG
€ MY COMMISSION #FF182929
�a nd EXPIRES September 24, 2018
1(40'7') 3984153 FloridallotarvSeMce.com
OCEAN RESORTS CO-OP, INC.
5101 N HIGHWAY AIA
FORT PIERCE, FL 31949
(7721464-4803 FAX (772) 464-0709
NEW HOMF E)(TERIM 0cmOVATIONS & REIVIt ri cl IVG APi�LICnTICiv
Date:
Owner Name: ( 1r�At? -�
/ tom;"
Lot No. .. �. Address: (i F'' C., ;A-)
Mailing
Address:VIA R
(i£ crher th8n Ocean: Resort)
Phone:
Cell: .
Please consider the following for ,approval: (Use additional sheet if necessary.)
Submit detailed plans, pictures and quotes including samples of colors, materials, or
specifications, detailed location plans andjor c€�nstruction plans if applicable. The following
contractor information must be included: I. Insurance 2. Permit 3, FL License
. `
Signature of Ovvner(s):
Denied Approved
_____
Contingencies: (with contingences listed below) �
i } L%ti.t`A-z
kiana^er: roti ' { - }
"` - Fate: (
APPLICATION Is VOID A\FTEP INET`r (9D) DA`{S FROM DATE OF I INAL APPROVAL IF WORK Is
NOT STARTED
PLEASE SEE T.HE BACK OF THIS r'{�S.t.t ;r,s[3;_'�...�:
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