HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �+v
Date: Permit Number: Zo► 2 a a�
21r RECEIVED
O LU]
Q.. - Building Permit Application DEC 16 2020
Planning and Development Services Permitting depart
Building and Code Regulation Division Commercial Residenftl-ucie o
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: reroof`
PROPOSED IMPROVEMENT LOCATION.-
Address: 10701 s ocean dr 904 jensen beach fl
Property Tax ID#: 4511-510-0104-000-6 Lot No.904
Site Plan Name: venture out at indian river Block No.
Project Name: reroof
DETAILED DESCRIPTION,OF.WORK:-: :
reroof with shingles
New Electrical Meter Second Electrical Meter
.CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1200 Sq. Ft. of First Floor: 1200
Cost of Construction: $ 5000 Utilities: —Sewer —Septic Building Height: 15'
.OWNER/LESSEE:_ CONTRACTOR:"
Name Gregory Klingler Name:Harold Otto
Address:10701 S Ocean Dr unit 904 Company:Otto built LLC
City: Jensen Beach State:_ Address:4335 sw honey terr
Zip Code: Fax: City: Palm City State:fl
Phone No. Zip Code: 34990 Fax:
E-Mail: Phone N0772-201-1908
Fill in fee simple Title Holder on next page(if different E-Mail Harold@ottobuiltlic.com
from the Owner listed above) State or County License CCC 1327359
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
Sl1PPl_EMENl'AL CO`NSTRUCTI`ON 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.
1 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 recordink your Notice of Commencement.
A'�A7 �.
Signature of Owne#Less a/Contractor as Agent for Owner Signature of Contractor7Eircense Holder
STATE OF FLORIDA Cr / — STATE OF FLORIDA
COUNTY OF :> (—�1 G f COUNTY OF � -
Swor (or affirmed)and subscribed before me of Sworn or affirmed)and subscribed before me of
Physical Prese ce or Online Notarization Physical Presence or Online Notarization
this/5 day of kfr— 2020 by this day of 2020 by
r-e.'el/J-7—!Q k//iq ,/-e-vz_ J I V-6)Id o4 Lic,�
Name of pers9fi maki statement. Name of person making statement.
Personally Known `�OR Produced Identification Personally Known l0 OR Produced Identification
Type of Identification Type of Identification
Produced Produced
............
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(Signat r No ry Pub / (Signature PNR54id'��Q�kest�i�6Flt�m�
Notary Public State of Flon�e P,?!'
Commission M GG 969759
oFM Comm.Ex ires Mar 22,2 I)
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Commission No. F Miifasion GG 217553 COmm1551 NO. 3or�ed thrrnmh IJnN �aI Not
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00 Expires 08/27/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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