HomeMy WebLinkAboutDoole ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/21/19 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
PERMIT APPLICATION FOR: Roof
Address: 124 QUEEN EZABELLA COURT
Legal Description: QUEENS COVE UNIT 1-BLK 1 LOT K(OR 4009-814)
Property Tax ID#: 1414-701-0009-000-9
Site Plan Name: DOOLE
Project Name: DOOLE
Setbacks Front
Back: Right Side: Left Side:
Lot No. K(OR 4009-814)
Block No. 1
Address: 124 Queen Isabella Ct. Company: Sunshine Roofing, LLC
City. Hutchinson Island State: FL Address: PO Box 1083
Zip Code: 34949 Fax: City: Palm City State: FL
Phone No. 772-882-1039 Zip Code: 34991 Fax:
E-Mail: andykat72@gmail.com Phone No. 772-260-8195
Fill in fee simple Title Holder on next page (if different E-Mail: sunshineroofingllc@gmaii.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.
DESIGNEI
Name:_
Address:
City:.
Zip:
GINEER: _ Not Applicable
Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: Po Box 1083
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
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 Commenc ent.
gnature f Owner/ lessee/Co tt for as Agent for Own
Sign ture cf Contractor/license Holder
STATE OF FLO IDA
STATE OF FLO A
,
COUNTY OF L
;
COUNTY OF L'cAe
The instru ent was acknowledged before me
Thef Ding instru , ent was acknowledged before me
foring
�'
thisy of _ 20 by
this, day of " ' ° 26 0by
Name of person making statement
Name of person ding statement
Persona own OR Produced Identification
Personally Known OR Produced Identification
Type +9f 1 ti ation
Type of Identification
Pro • uc _ T-
Produce
(Signature of No
(Signature
Commission No.
KRISTIE DYE
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KRISTIE DYE
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11,2023
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17