HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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 Residential X
PERMITTYPE: Reroof
PROPOSED INPROVEMENT LOCATION:
Address: 10851 S Ocean Dr #15 Jensen Beach, FL 34957
Property Tax ID#: 4511-810-0022-000-8 Lot No.
i
Site Plan Name: Block No.
Project Name:;
r
DETAILED DESCRIPTION OF WORK:
Remove existing shingle roof and install new metal roof
CONSTRUCTION;INFORIVIATI.ON:
Additional work to be performed under this permit—check all that apply:.
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows Doors
_Electric _Plumbing _Sprinklers _Generator _Roof WP-- Pitch
Total Sq. Ft of Construction: 1482 Sq. Ft.of First Floor:
Cost of Construction:$ 9000 Utilities: —Sewer —Septic Building Height:
OW,N ER/LESSEE:' "N" CONTRACTOR:
Name James&Joann Brazee Name:Jamie Cisco
Address:10851 S Ocean Dr Lot 15 Company:Sunshine Roofing LLC
City.. Jensen Beach State:_ Address:PO Box 1083
Zip Code: 34957 Fax: City: Palm City State:FL
Phone No.4,40-227-1339 Zip Code: 34991 Fax:
E-Mail:jp912@att.net Phone No 772-260-8195
Fill in fee simple Title Holder on next page(if different E-Mail sunshineroofingllc@gmail.com
from the Owner listed above) State or County License CCC1327796
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 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:
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.
Si nature of Owner/Less e/ ntractor as Agent for Owner Signature ontractor License Holder
ATE OF FLORID/� STATE OF FLOR14A
COUNTY OF tiSf LUC 12 COUNTY C 0 Luc, e—
The forgoi g instru t was acknowledged before me The forgoi g instru ent was acknowledg before me
thisay oftJG f 20 by thisay of 201L by
V b &V) 6 Ze-'0-- .ramie Cisco
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Type of Iderltiffication Type of Identification
Produced rrense Produced
(Signatu a of Notar i - (Signa re of Nota y ublic- ate of FI rida
.pay Puo Notary Public State of Florida
Commission No. _° a� Marilyn K1 Comm on No.
P„ Notary of Florida
c` My Commission PF 230.979 Marilyn
4F�o� Expires 06/28/2019 3r My Commission FF 230A79
d+' Expires 06/28/2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Re—v.9/26/18