HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-19-17 Permit Number:
BI Ndi ft-,- Permit
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
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OCT $ 6 2017
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Address: 1132 nettles bivd, Jensen Beach, FL
Legal Description: nettles island inc, A condo section II Parcel 1132 and Pro -Bata Share in common elements or 3984-362
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Site Pla*Uathes 6loeie, No.
Project Name: D Q���U t✓i�� DYVI�
Setbacks Front Back: Right Side: Left Side:
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Remove existing shingle roof and install a galy 'I me metal roof, 1 inch standing seam.
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[ CONSTRUCTION INFORMATION:
Additional work to be pertormed under this permit— check all tba apply:
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IIHVAC L _I_I Gas Tank Gas Piping LJ Shutters �indows%Doors
LJ Electric L1 Plumbing SprinklersGenerator L I�Roof �12 Roof pitch
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Total Sq. Ft of Construction: 10 squares Sq. Ft. of First Floor:
Cost of Construction: $ 5000.00 Utilities: OSewer OSeptic Building Height:la
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INameFed Hansen
Name: John Buss
Address:80 oak hill lane
Company: J B Roofing & Waterproofing LLC
City: Leicester State:
Address: 2367 SE Heathwood Circle
City: PSL State: FL
Zip Code: 9460 Fax:
Phone No. rJ �� a� 5 -
I Zip Code: 34952 Fax:
I , Phone, Flo. 77�-V�4-7UV,, {
t-Mail
Fill in fee simple Title Holder on next page (if.different
E-Mail: JBRoofingandWaterproofng@gmail.com
from the Owner listed above)
State or County License: CCC-1330416
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPFLEIliEIVTAL COi STRIJCTION
LIEN LAll1/,lI�.FORM,4TION
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
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FEE SIMPLE TITLE HOLDER:
i Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
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I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count 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
ill accordance with the approved plans, ine Florida building Codes and St. Lucie County Amendments.
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accessory structures, swiini6 ng Oook fences,, wafts, signs, screen- eoems arviTaccessory. uses to artotfser port-res cleritlaf.,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
commencine work or recording your Notice of Commencement. A ,
'Owhek/Lessee/'Cohtractoras Agent for Owher
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5)r- I COUNTY OF n�:r
The forgoing instrument was acknowledged before me
this a.Co day of Zc , 20 Al
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(Signature of Notary PLH
Perscnal! r Kno vrn
'iy�B%u7iuxiiii�asni;ly rah
:g9
Commission No.
Revised 07/15/2014
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State of Florida )
MY CoMNIISSION # GG 021023
L EXPIREISWber 16, 202-
Bonded Thru Notary Public Undeiwdters
The forgoing instrument was acknowledged before me
this day of Q(2AQbeX- , 20 L-T by
Przrcnnallu Knnum tiR Prnrliirarl Identification
_..
ASHLEY LAWRENCE .
et,_ • ...iON NO. GG 29721
MY COMMISSION EXPIRES SEPTEMBER 13, 2020
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