HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-3-2019 Permit Number:
RECEIVED
� 201p
DEC I
Building Permit Application
Planning and Development Services Perm'.Lurie COY-`
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT TYPE: Re-roof
PROPOSED IIVIPRQV'EME,NT LOCATION
Address: 756 Nettles Blvd Jensen Beach, FL
Property Tax ID#: 4502-501-0942-000-6 Lot No.
Site Plan Name: Nettles Island Inca condo section II parcel 756 andpro-rata share in common elements(or1225-1640;20542981;3839-1963 Block No.
Project Name: Willems re-roof
F-7 77777 777,47
DETAILED DESCRIPTION O:F WORK f
v
V
Tear off existing tile roof system. Re-nail existing decking to code with 8D ringshank nails. Install 30#felt paper to code with
1-1/4" ringshank nails and tin-tags. Install 2x2 white.drip edge and valley;metal to code with 1-1/4"ringshank nails. Install
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Tri-Built HT TU self-adhering modified tile underlayment. Install Soreltile to code with screws,!
CONSTftUCTION.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 4/12 Pitch
Total Sq. Ft of Construction: 1381s Sq. Ft.of First Floor: 1246sf
Cost of Construction:$ 17,500.00 Utilities: _Sewer _Septic Building Height: 12'
OWNER/LESStEE CONTRACTOR
Name Edwin Willems Name:Cameron Cooper
Address:343 Jenkins Ranch Rd Company:Florida Coastal Roofing Solutions LLC
City: Durango State:_ Address:10380 SW Village Center Dr#360
Zip Code: 81301 Fax: City: Port St. Lucie State:FL
Phone No.772-201-8947 Zip Code: 34987 Fax:
E-Mail: Phone No 772-621-6268
Fill in fee simple Title Holder on next page(if different E-Mail office@fcrsllc.com
from the Owner listed above) State or County License CCC1331267
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.
i
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: Stater
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Sig ature of Owner/Lessee/Contractor as Agent for Owner Signature of Contr ice a Holder
STATE OF FLORI—,A�, STATE O FLORIDA
COUNTY OF t Q C1'ej COUNTY OF �I 112-.)
The F i g instr ent was acknowledge before me The f gp. instr ent was acknowledge before me
this y of� �20 by this� r of 26B by
Name of person making statement. Name of person making stateme t.
Personally Known OR Produced Identification)(%_ Personally Known 1-4 OR Produced Identification
Type of Identification 11 Type of Identification
Produced 151 L 1 SCS Produced
1
(Signatu fy YI I H (Signa
"' '•e MY COMMISSION#GG �• MY COMMISSION#0G09
Commiss' ' ' � Commi al)
EXPIRESWpril 04,2221 pn 04.2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19