HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I FO BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
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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
PROPOSED IMPROVEMENTLOCATION:
Address: 13301 S INDIAN RIVER DRIVE
Legal Description: 9 37 41 THAT PART OF TRACT OF LAND AS DESC IN DB 163-430,432 BNDED ON E BY IND RIV AND ON W BY FEC RR-LESS SR 707 AND LESS S 35 FT
Property Tax ID#: 4509-130-005-000-9 Lot No.
Site Plan Name: Block No.
Project Name: STARRATT
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: - -
REROOF - FLAT ROOF ONLY
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[CONSTRUCTION INFORMATION;
Additional work o be nertormed
, under this permit—check ec a apply:
0HVAC Gas Tank Gas Piping _Shutters Windows/Doors
❑ a
Electric 0 Plumbing Sprinklers El Generator Roof F Roof pitch
Total Sq. Ft of Construction: 12 SQUARES S . Ft.of First Floor:
Cost of Construction:$ 9712.00 Utilities: Sewer El Septic Building Height:
OWNER/LESSEE: CONTRACTOR;
Name STARRATT,FENN Name: JOHN TURNER
Address:PO BOX 253 Company: STUART ROOFING
City: JENSEN BEACH State:FL Address: 140 NE DIXIE HWY
Zip Code: 34958 Fax: City: STUART State:FL
Phone No. a G• O — Zip Code: 34994 Fax:
E-Mail: Phone No. 772-692-9854
Fill in fee simple Title Holder on next page(if different E-Mail: stuartroofinginc@comcast.net
from the Owner listed above) State or County License: CCCO24411
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SU,P,P.LEMENTAL.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:
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.
S
Signature of Owner/Lessee/Contractor as Agent for Owner Sig re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this gig day of 20 1V.by this 2m day of JANUARY 20 11 by
FENN STARRATT JOHN TURNER
(Name of erso acknow gi ) (Name of erson c owe dgin )
(Signature of Notary Public-State of Florida (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 5';•• Ld
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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