HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RE D'.' D J�1�V 12 29117
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 —
"PRO*POSED IIVIPROVEfV1Em. LOW'IQN
Address: 10701 S.OCEAN DRIVE#636, JENSEN BEACH
Legal Description: VENTURE OUT-SECTION C-LOT 37
Property Tax ID#: 4511-805-0037-000-0 Lot No.37
Site Plan Name: Block No.
Project Name: PERELLI/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION"'0F WORK ' ` = "
TEAR OFF SHINGLES. RE-NAIL DECK. INSTALL NEW 5V CRIMP METAL PANEL ROOF
SYSTEM OVER 30# FELT UNDERLAYMENT. (14 SQ/5/12 PITCH)
CQNSTRUCTION I NFORM' ATIOaN
NJ 0
Additional work to be performed under this permit—cleck aill apply:
E1HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers L Generator Roof
Total Sq. Ft of Construction: 1400 S Ft.of First Floor: 1021
Cost of Construction:$ 6,600 Utilities: Sewer Septic Building Height: 2 STORY
OWNER/LESSEE CONTRACTOR:
s
Name 1JORGE&SUSANA PERELLI Name: KYLE WHITE
Address: 41 CHERRY LN Company: J.A.TAYLOR ROOFING INC
City: HICKSVILLE State: NY Address: 302 MELTON DR
Zip Code: 11801 Fax: City: FORT PIERCE State:FL
Phone No. 772-370-0161 Zip Code: 34982 Fax: 772-468-8397
E-Mail: Phone No. 772-466-4040
Fill in fee simple Title Holder on next page(if different E-Mail: NADINE@JATAYLORROOFING.COM
from the Owner listed above) State or County License: CCC 1325895
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION'.-"-,".
DESIGNER/ENGINEER: x_Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
;Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 recorde and posted on the jobsite
before the first insp
,oeVh If you intend to obtain financing, consult with I or an attorney before
commencing wo eco ding your Notice of Commencement.
1�'_ N L__
s
_Signature of Owner/Lessee/Agent Signature of Contractor icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The for ling instrument was acknowledge before me The forgoing instrument was acknowledged before me
this day of Q.h 2011by this JSday of 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
( Ignature of Notary Public-State of Flori ( Ignature of Notary Public-State of Florida)
a�a��,oe�NMI !°i®Z � �ee�tieeta E MIAN���d���r
Personally Known x OR Pro c d lc �4n Personally Known x OR Produced ' c ongfi �
Type of Identification Produced =� °���@A ,N c a•� 'd Type of Identification Produced
�0 9
FF 936050 t, u' FF 936050
Commission No. =,t:��(SeaJ). ;ii a Commission No.
#FF 936050 ;• =y #FF 936050
'so' • o� moo • • os
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Revised 07/15/2014 ss�j/�%�j jIi01011o \\a\ e�����°�eia �i as
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS