HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 70 .014
LS1,02.1.1 19 IN
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
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 1008 Shorewinds Dr. Unit B Ft. Pierce, FL
Legal Description: Coral Cove Beach-Section One-BLK 1 That part of Lot 2 and SLY 10 ft.of Vac Alley Adj on N MPDAF;from NE Cor of Lot 2 Run N 0251 13 W
10 ft.th N 87 08 47 W 31.93 ft to POB;th S 03 07 19 W 140 ft.th N 87 08 47 W 16.80 ft,th N 03 07 19 E 140 ft.,th s 87 08 47 E 16.80 ft to POB(0.05 AC-2178 sf)(OR 3706-2538;3983-1360)
Property Tax ID#: 1425-701-0003-010-4 Lot No.
Site Plan Name: Block No.
Project Name: Williams Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing shingle roof and replace with 5-V Metal roof
CONSTRUCTION INFORMATION:
Additional work to e e orme under t is —checkpermit a apply:
11HVAC E]Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric E] Plumbing Sprinklers Il Generator L=1 Roof
Total Sq. Ft of Construction: D S . Ft.of First Floor:
Cost of Construction:$ 3990.00 Utilities:0Sewer Septic Building Height: 8'
OWNER/LESSEE: CONTRACTOR:
Name Karl&Jumara Williams Name: Jamie Cisco
Address:373 SW Quiet Woods Company: Sunshine Roofing, LLC
City: Port St. Lucie State:_ Address: PO Box 1083
Zip Code: 34953 Fax. City: Palm City State:FL
Phone No.772-4105-7759 Zip Code: 34991 Fax:
E-Mail:rioestates2009@gmail.com 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: CM 327796
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 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 your paying 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
commencing work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Sign�f Contractor/License Holder
STATE OF FLO IDA STATE OF FLORIDA
COUNTY OF�(,Lr COUNTY O 4 I t`
The forgoing instrument was acknowledged before me The f rgoing instruumme-n was acknowledged before me
this_(, day of 20 I by this day of 20__17by
!I Ct rn_S Jamie Cisco
(Name of person acknowledging) (Name of person acknowledging)
(Signatu tof Notal Public-Slate of Flo ida) (Signs ure of Not dry Public-St to of Flori a
Personally Known OR Produced Identification X Personally Known X OR Produced Identification
Type of Identification Produced License Type of Identification Produced
Commissionf0..TpWN% Nota Public State o(Tea",a Commissio �&Floddl
Marilyn Kluegel
My Commission FF 230179 ��'vY°�ek Notary Public Stat
f Marilyn Khappi
My Commission FF 230179
Revised 0 1 2 14 oFti Expires06!28,2019
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