HomeMy WebLinkAboutMudde Permit AppAll Apnugtl! INFO MUST BE COMPLUTE0 FOR APPLICATION TO BE ACCEPTED
Date: 1WI12020
Permit Number:
Building Permit Application
Plarrit'iq and Development Sefvicei
Set l,lft and Code Aequ;a rian ffsion Commercial Residential X
2300 VirginldAvenae, Fort Pierre a 34-982
Phone: {772} 462-1553 Fax: (772) 462-1578
RM fAPPLICATION FOR:Roof Replacement
,FT,
LtROPOSED IIVIPR lLEIVIENT LQ�A-ItIIN'
_ _,
Address: 106 Sheridan U1. Jensen Beach. FL 34057
pr,cperW Tax ID g: 4504-310-0004 -010-2 Lot NO
Site plan rjame� $herldarl Ln Block No.
Project game. Mudde ReWence
DETAIL D DESCRIPTION OF WORK:
Remwie existing roofing maledal down to wood dock. I nspeOVRepaldRenail WooO deck. Install Self-Adhemd
Roofing Undedayment to entire roaL Install 26 GA 5V Urnp metal panels to enOre roof area.
New Eiectricat Meter — __._ Second Vectrilcal bletef
[CONSTRUCTION INFORMATION:
--
Additional work tobe performed under this permit —check all that apply.
_Mecbznlca1 — Gas Tank —Gas Piping
Total Sq. Ft of Contructi on, k�
CoAofCznstrucfion-$ 2�4 55D
_shutters _Wfndmvs/Dours —Pond
Gencr.Aor 2— Roof Pitch
Sq. Ft. of First Floor,
Utilities: —Sewer __Septic evilding Height. k 6 i
OWNER/LESSEE:
Narne_��Iicole Mudde
Address- 108 Sheridan La
City.. Jensen Beach State
ZI p Code: 34957 Fax:`_
Phone No 7722045910
E>M ajj._na-y@key2t(_0M
Fill In fee simple Title Holder on next page (if different
Oorn the Owner listed above)
CONTRACTOR.,
Ila me:Asidmw Keys
cornpany'Andrw-v Thomas Contracting UC
Address- I t93 SE Pod St Lu4e 131vd #322
City: Port St WciQ �tatu:FL
zip code; ?A952 — Fax:—,_
Phone ND772626IZ50
State or County Ulcer4eccc 133 1638
it value of wrtstructiori is 2SOO or more, a REWROED Notice of Commencement Is required.
if valveof HAVC Is $7,500 or more, a RECORMI) Notfoo of Cvmmencement4 required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION:
Address:
City; State:
Zits: Phone
fEE SIMPLE T1TLE KOLDER: Not Applicable
Name,
Address.
City:
Zip: - Pharte-
MORTGAGE COMPANYc Not Applicable
Name:
Address:
City: State.,
Zip: ^Phone,
BONDING COMPANY: Not Applicable
Name:
Address-.
City: . _
zip- — Phone -
OWNER/ CONTRACTOR AFFIOVIT: App4ration is hereby/made to obtain a permit to dathe wark and installation as indicated
I cer fy that na wotkor installation has commenced prior to the Issuanceof a perrnit.
Sat. Lutje Couaty rnaW no representation that is griintins aperm9t will authorizeth grant ho1cfer to build the subject strutture
yr3ilrh is In conflict with any ppiicable Home Oviciers AMkcratioo rules, bylaws or a� co�renants that may restrict or proMIt such
structure. Ptease consultwit� your borne Owners A ssociali'on and review your deed or any restrklions which may apply.
cansWeration of the granting of this regv"ted permit, I do het'eby agree that I N01, I n all respects, perform the work
in accordance Wth the approved plans, The Florida Building Codes and St. t,ude! County Am endments.
The faStowing bullrftrtg Permit applications are exempt from undergoing a full concurrent-,r review., roam additio0s,
accessory structures, %Vmnntag peals, fences; watts, signs, scraan morns and accessary uses to another norr esi dentiat use
WARNING TO OWNER -Your failure to Rtwrct a Notice of Commencement may result in paying twice for
improvements to your property- A Notice of Commencement must be recorded to the public records of St.
Lucie County and pasted on the jobsite before the first inspection. It you intend to obtafn financing, consult
with tender or an attorney before commencing work or recording your Notice of Commencement.
Signatme oaf /t 5�e.�C.+3ntr&(Gr as Agent for Chaoner Signature of act9r}LicenS t >'r
STATE OF F L � STATE OF I
COUNTY t7F COUNTY
rn to for affirmed) and subscribed before me of rn to or affirm and subscribed before me of
s'cafPr r Onlinek4rarizatictn p talPres rt OnllneNutarfzation
tub X dt day or 202a by thi y of ��2
a
� �—�-. � lVamcafpersnnrrtsTdngst3teen¢rtt. tit �4f�9 Qt1tY5 Pdterrtent.
PerSor+ai ow, Q�Prmd t82ntiflcation Fersonali _ !t P uce td tifttatto
t5 Typenffd ti t� type 11
vrc+ Pro trc i..,l
(Signs ure of Ka Pa lit- Matz of ptoctd (Signature trf N P blic- Sul,F
CumnusstDn h . � all Clummisstan N (Se 1)
III
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