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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' �5 1 _ Permit Number: 03 2�
RECEIVED
• NOV 1 5 2019
Building Permit Applic tion
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE:ROOF Recover
PROPOSED IMPROVEMENT LOCATION:
Address:. Ocean Dr., Jensen Beach, FL 34957 (6501 S. Ocean Dr.)
Property Tax ID#: 3508-111-0002-000-3 Lot No.
Site Plan Name: Block No.
Project Name: FPL St. Lucie Nuclear Facility - Land Utilization Bldg.
DETAILED DESCRIPTION OF WORK:
Roof Recover
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CONSTRUCTION INFORMATION:
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 Pitch
Total Sq. Ft of Construction: 2,800 Sq. Ft. of First Floor:
Cost of Construction: $ 69,759.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Florida Power& Light Company Name: Robert P. Kornahrens
Address: 700 Universe Blvd., PSX/JB Company:Advanced Roofing, Inc.
City: Juno Beach State: _ Address:1950 NW 22nd Street
Zip Code: 33408 Fax: City: Fort Lauderdale State:FL
Phone No.(561)694-3522 Zip Code: 33311 Fax: (954)566-2967
E-Mail:Joseph.M.Stearns@fpl.com Phone No(954)522-6868
Fill in fee simple Title Holder on next page( if different E-Mail tomaram@advancedroofing.com
from the Owner listed above) State or County License CCCO24413
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.
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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 Counter 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR Ar#ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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SignAt1e of er/Les a/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORAPA STATE OF FLORIDA
COUNTY OF I . L.\,\Co COUNTY OF prU(Jl"
The for oing instru n t was acknowledged before me The for oing instrument was acknowledged before me
this day of k �1���OLk�,20� by this day of f 20_LQ by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature
(Signature of Nota - o ' (Si ature of Notary Publl Flo ra Martin to of Flonce
"`v a' KATHRYN:GG1
_'�►R oe••, y My C m� on GG 383471
Commission No. :°•� �F NotaryPugrseglorida Commission No. ' 0�8 Expir @ I /2023
_ �' Commission s 163',?oF doe' My Corr.Expir2022
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