HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �
Date: I ) ��� Permit Number: M l -o Is
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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 Resideniial xxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 10725 South Ocean Drive 535
Legal Description: Holiday Out @ St Lucie-Sec B BLK N Lot 28 and equal Pro-Rata interest in common elements(OR 3386-963)
Property Tax ID#: 4511-502-0067-000-9 Lot No. 28
Site Plan Name: J Block No. N
Project Name: Douville
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: 1 ``
Remove existing 9sq of 2 layer TPO and shingle roof system. Install 5V galvalume metal roof system
with MUL peel and stick underlayment.
3
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit—check all ffha apply:
1]HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
nElectric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: � (q S . Ft. of First Floor:
5,580.00 iI
Cost of Construction:$ Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Rejean Douville/Lynn Houde Name: Crystal Anderson
Address: 3 Place De Calais Company: Olneya Restoration Group,LLC
City: Candiac State:QC Address: 4253 SW High Meadow Avenue
Zip Code: J5R-4J7 Fax: City: Palm City it State: FL
Phone No. 514-506-4121 Zip Code: 34990 Fax: 772-925-8417
E-Mail: redj5260@gmaii.com Phone No. 772-222-5019
Fill in fee simple Title Holder on next page(if different E-Mail: llawrence@olneya.com
from the Owner listed above) State or County License: CCC1330974 SLC29770
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER. Not Applicable MORTGAGE COMPANY: �Not Applicable
Name:. Name:
Address: Address: I
City: State: City: State:
Zip: Phone: Zip: Phone::
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FEESIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address 1
City: City:
'Zip: .Phone' Zip: Phone:
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I:certifythat:no:work or Installation has commenced prior tg the issuance of a permit.
St.Lucie Countyy makes no representation that is'granting a permit will authorize the permit holder to build'the subject structure
which is in'c0nflictwith 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.
Inconsideration o.f`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 perniit.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 p'osted'on thejobsite
before the first inspection..If.you intend to obtain financing, consult with lender or arrattorney before
commencin wo'ek'or recordingour Notice of Commencement.
.Signature ofowner/Lessee ontrac as Agent for Owner Sign ature,,0ECzat•ra or/License Holder
STATE'OF FLO STATE OF`FLORI
COUNTY OF D RAGAM COUNTY OF � � ^��
The`fo'r`going inst me t wa acknowledged before me The forgoing instru ent was�ck-nno ledged before me
this�day of 20,L-by this�day of :20 �� by
(Name,o p rson acknowledging.) (Name of person acknowledging)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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