HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC LE INFP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 117 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 IMPROVEMENT LOCATION:
Address: 10851 S. Ocean Dr. Lot 17
Legal Description: Windmill Village by the sea Condominium No 1 Unit 17 and pro-rata share in common elements(OR 2997-1555)
Property Tax ID#: 4511-810-0024-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:.T
DETAILED DESCRIPTION OF WORK:
Remove existing shingle roof and install metal roof
CONSTRUCTION INFORMATION:
Additional work to e e orme under t —checkispermit a apply:
11HVAC Ei Gas Tank Gas Piping Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction:4606' t 'a0c) S . Ft.of First Floor: 900
Cost of Construction:$ 5600 Utilities:Sewer 0 Septic Building Height: 8
OWN ER/LESSEE: CONTRACTOR:
Name Robert Padovano Name: Jamie Cisco
Address:528 Shark Lane Company: Sunshine Roofing, LLC
City: Manahawkin State:NJ Address: PO Box 1083
Zip Code: 08050 Fax- City: Palm City State:NJ
Phone No.609-709-8139 Zip Code: 34991 Fax:
E-Mail:slip60@comcast.net Phone No. 772-260-8195
Fill in fee simple Title Holder on next page(if different E-Mail: sunshineroofingllc@gmail.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.
SUPPLEMENTAL 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 Counter 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
WARNI O NER:Your failure to-Record a Notice of Commencement may result in your paying twice for
imp ements your property.A Notice of Commencement must be recorded and posted on the jobsite
ore the fir inspection. If you intend to obtain financing,consult with lender or an attorney before
commenci work or recording our Notice of Commencement.
gn a of Owner/Agent/Lessee Signature Contractor/License Holder
STATE OF FLORI a STATE OF FLORIDA
COUNTY OF T L Le-e— COUNTY OF
The for ping instrument was acknowledged before me The forg_ �iing instrument was acknowledged before me
this day of IrY lMk 20�by this 'day of 1rbt-C h ,20_ff by
Jamie Cisco
(Name of person acknowledging) (Name of person acknowledging)
L�
(Signat re of Nota blic- tate of lorida) (Signat re of No a Publict State of Iflonda)
Personally Known OR Produced Identification X Personally Known X OR Produced Identification
Type of Identification-PrP'0F
b Type of Identification Produced-
, Notary Public State of Florida C
Commission No. �; Madi l)egel Commission No. + NotaryPltltPc teol:'orida
v My Commission FF 230179 r° �' Marilyn ICluegel
Expires 06128/2019 M Commission FF 230179
Op F► Expires 06/28/2019
Revised 07/15/2.014
REVIEWS FRONT ZONING SUPERVISOR PLANS.' VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW- REVIEW REVIEW
DATE .
COMPLETE -
INITIALS "