HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date 21 , 2017 Permit Number: D (310
low
EIVED
RECL
Building Permit Application A' �p
Planning and Development Services '� O / 2 2017
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
PROPOSED IMPROVEMENT LOCATION:
Address: 1247 NETTLES BLVD JENSEN BEACH FLORIDA 34957
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1247 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-501-1434-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:_
ASPHALT SHINGLE TO 1"S-T_A�PJ�r9_&E0M� METAL RE -ROOF WITH THE EXISTING DECK TO
REMAIN. _S77`�jP °
CONSTRUCTION, INFORMATION:
Additional work to be nertormed under this permit —check all apply:
11HVAC 0 Gas Tank r7Gas Piping _ Shutters Q Windows/Doors
11 Electric El Plumbing Sprinklers ElGenerator W1 Roof 3/12 Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 7,700.00 Utilities: Z Sewer O Septic Building Height:
OV1/NER/LESSEE g, -:
CONTRAC. 011'
Name LAURA IMBORDINO
Name: Francis Buchanan
Company: Buchanan Services
Address: 1247 NETTLES BLVD
City: JENSEN BEACH State: FL
Address: 775 NW 57th Street
Zip Code: 34957 Fax:
City: Fort Lauderdale State: FL
Phone No. 630-640-0389
Zip Code: 33309 Fax: (772) 324-8090
E-Mail:
Phone No. (772) 905-2423
E-Mail: office@pdrhelps.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CCC-056685
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 vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
Holder
STATE OF FLORID 1
STATE OF FLORIDA
COUNTY OF It IUA.
COUNTY OF �� kuue.
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of LCSICQ . 20 Eby
thisT-1 day of Cc.'FC20 11 by
N
LJuc�l.(i
:�
(Name of person acknowledging)
u. o N
U.
(Name of person acknowledging)
o Y o
c}w
ioFa
(Signature of Notary Public- Stdte of Florida) = . w v LL,
D �
Personally Known OR Produced Identificat'
Type of Identification Produced a
Commission No."0%6301 (Seal)
Revised 07/15/2014
(Signature of Notary Public- State of
Personally Known >C OR Produced Identification
Type of Identifica//tiion Produced
Commission NoA V l (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS