HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: q, "X`CP -I C1 Permit Number:
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COUNTY 4
F.I. 0 R [ b. A
Building Permit Application RI:CEIVEI,
Planning and Development Services APR 26 1010
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 S . L�(cie County
Phone: (772)462-1553 Fax: (772)462-1578' Commercial Residential
• PERMIT APPLICATION FOR: Roof
PROPOSEDIMPROVEMENT LOCATION:,
Address: 2177 Nettles Blvd.
Legal Description: Nettles Island Inc, A Condo-Section I Parcel 177 and a parcel of land lyg adj to
and W OFSD Lot 177 and E of Concrete Seawall and Pro-Rata share in common elements
Property Tax ID#: 4502-501-0180-000-6 Lot No.177
Site Plan Name: t: __.__ ______.________—_ ___ .—_I Block No.
Project Name: Pearson Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace old shingle roof with new shingle roof.
CONSTRUCTION INFORMATION:
Additional work to b(e_pertormed under this permit–check all- apply:
—HVAC I I Gas Tank I_IGas Piping II Shutters Windows/Doors
I I Electric ElPlumbingSprinklers —Generator ✓ Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1,289 S . Ft.of First Floor:
Cost of Construction:$ 8,650.00 Utilities:I Sewer _Septic Building Height: 10
it
OWN ER/LESSEE: CONTRACTOR-: I}
Name
//4 o,)yw�C 7/qc Name: Joseph W. Snyder
Address� b INTI- ?0 0 frwli _ Company: Seaside Roofing, Inc.
City: V4 I y4 r u;c o State:-�'''` Address: • rt ac ames I r., gni
Zip Code: A
34957 Fax: City: Stuart State: FL
(772) 229-2434 34997 (772) 283-9421
Phone No. Zip Code: Fax:
E-Mail:Mbaker4l @live.com Phone No. (772) 283-9599
Fill in fee simple Title Holder on next page(if different E-Mail: Joe@seastderoofing.net
from the Owner listed above) State or County License: GCC-1329224
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: 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 recorded and posted on the jobsite
before the first i -section. If y-- inte 'to obtain financing,consult with lender or a yattor• -y before
comm��tw n: ,11� or recordi:ig yo 'otice of Commence -
/ W1- s
Sif Owner/Les ee o - actor as Agent for Owner Si,, . r of Contractor Lic ;/- older
E OF FLORIDA ( ' 'TE OF FLORIDA l
'OUNTY OF f1ic( T 1 el , OUNTY OF i.,
'OUNTY l iv,
The forgoing instrument wa acknowledged b fore me The forgoing instrument was acknowledged before me
this 15 day of /4ii/% I� , 20 I Yby this�day of /fQ Ii / ,20 by
(,!I),� . ."� 05c h v/ . � . 3f'( 05PyG W, 5, o'er
(Name of pers n acknowledg ig) ) (Name o person cknowledging)
/ /i
( i ture of otary Publi-te of Florida) (Sign. g re of Notary Public-State of Florida)
t
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification 1
Type of Identification Produced Type of Identification Produced
Commission No. !S( I ; ' ommission No. 7 - .
roe,y
Ntt Notary Public State of Florida °ui0 Notary Public Stateof Florida
Gregory E Noll . b Gregory E Noll
', r My Cu mlaalon FF wei 14z My commission F7,961'742
,a r►d Expires 01/18/2020 `��Mrd Expires 01/19/2020 1
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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INITIALS