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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO ARUSIBE COMPLETED FOR APPLICATION TO BE ACCEPTED ( ^ Date: 'I Jn 1 1 Permit Number: 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, 1-1 1 PROPOSED IMPROVEMENT LOCATION: Address: 10725 S Ocean Dr Lot # 305 Jensen Beach, FL 34957 Legal Description: HOLIDAY OUT SY BY LUVIR NLK B LOT 18 AND EQUAL PRO-RATA INTEREST IN COMMON ELEMENTS (OR 201-1287;1501-1487; 3473-2927; 3746-1197) Property Tax ID #: 4511-501-0063-000-8 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. 18 Block No. B C DETAILED 'DESCRIPTION OF WORK: TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW 5V MILL FINISH METAL ROOF �� 2 �� 'TcH • [CONSTRUCTION INFORMATION': CIO laitionai worK to be errormea unaer tnis permit— ct nHVAC ] Gas Tank ❑Gas Piping ❑Electric ® Plumbing Sprinklers ❑ Shutters Q Windows/Doors Generator I Roof 1-1 Total Sq. Ft of Construction: Sq. Ft. of First Floor: 750 Cost of Construction: S-5,775.00 Utilities: Sewer.Lj Septic Building Height: OWNER/LESSEE: ° CONTRACTOR: Name RAY AND KIM BUTLER Name: Ronald Latta Company: Treasure Coast Concepts Inc. Address: 3458 SW Pluto St Address: 8 GORDON ST City: SUSSEX State: NB Zip Code: E4E IZ4 Fax: Phone No. city: Port Saint Lucie State: FL Zip Code: 34953 Fax: 772.905.4910. Phone No. •772.77.7.8130 E-Mail: tcconcepts@aol.com E-Mail: i CO-V% Fill in fee simple title Holder on next page (if different from the Owner listed above) State or County License: CCC1330362 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION UEN.IAW 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• OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 —pa the jobsite before the first inspection. if you intend to obtain financing, consult wit r or an a mebefore ...L w� �ernr�iinn vr�n► PAm of rnmmonrPMOnt Signature of Owner/ Lessee/Contractor as Agent for Owner Sig ure o n r/License Hold r Nc6 aew 49QuNSW)CAE • col dF OF LARIBA STACOUTE OF F IDA (� COUNTY OF LC I,�C,,,T, NTY O _ CANADA The fo oing instrument was acknowledged before me hday The f going instru a was knowledg fore me this day of 'MY - this, of OChW10— , 20� by _II R&M &A41er Nared of person making statement Name of person making statement Personally Known_/ OR Produced Identification Personally Know OR Pro uced Identification Type of Identification �i/''' Produced Type of entifi ti Produced �`\\`111i�llllllo/R��iii� (Signature of NotaryPublic- A a°� ►? Q ► on a 1 NGE A Ntw &-U sLW1tic. J _yy Ale.n ',:��J\\p �,awa+r,� slat© of Florid al) Q *Pjae 9 234730 ='s'•*(Sea Mmmissic sp�ya cave My Comm. Expires May 27, 2019 iii/ I�III rF �o REVIEWS FRONT ZONING SUPERVISOR ,,,, K.V GETATION SEA TURTLE ' MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17