HomeMy WebLinkAboutBohan ApplicationPlanning and Development Services
Building and Code Regulation Ditsisibn
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
I PERMIT APPLICATION FOR: Roof I
7
Address: 65- 1 !_3
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Back: Right Side: Left Side:
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Lot No.
Block No.
LJHVAC 0- Gas Tank [:]Gas Piping =_W� Shutters Windows/Doors
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Electric _ne�rator
Total Sq. Ft of Construction: SQ_ Ft. of First Floor:
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Cost of Construction: $ 1 Utilities: L_J Sewer E]Septic
Name t� L r, t e4,
Address: r-ct n
City: Li i state:
Zip Code i mJ Fax:
Phone No.
E-Mail:
from the Owner listed above)
Building Height: 11
Name: Jan"fle Cisco
Company: Sunshine Roofing, LLC
Address: PO Box 1083
City: Palm City State: FL
Zip Code: 34991 Fax:
Phone No. 772-260-8195
E-Mail: sunshineroofingllc@gmaii.com
State 96
or County License: CCC1 3277
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address: Po Box '()83
City:
rip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:Jarnh-ci-o
Address:
City: Palm C-4, State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
I
I certify that no work or installation has commenced prior to the issuance of a permit.
St Lucie Countv makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or angcovenants 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 paving 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
J1 - �.T.Ilkv
I-M "o. Signature of Contrgctor/License Holder
STATE OF FLOIg. i i I STATE OF FLORIDA
COUNTYOF -e, ;,COUNTY OF
Name of person making statement
'fication
Personally Known OR Produced Identi
Type of I ication
Produce,
KRI$TIE DYE
Ay commWIDN # ( MOO
EXPIRES: December 11, 2023
Rev. 8/2/17
The g instrbment was acknowledged before me
eday ok—UN 26aj by
r•
Name of person ing statement
Personally Known Z!OfR Produced Identification
Type of Identification
Produced
KRISTIE DYE
FAY COMMMION # GG 9392*1
EXPIRES: December 11, 2023
Bonded Thru notary Pubk Undw*lbrs