HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APP! IQABLE INFO MUST BE C011�17PLE?fC°' FOR APPucA-nON TO BE ACCEPTED
Date: 1 `� Pernit Number { \ j - tJ6 fc O
= FILL�:a
Building Permit Application I'NOV 2 8 2017
Planning and Development Services
Building and Code Regulation Dion BY °
.....
2300 Virginia Avenue, Fort Pierce FL 34182
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof - w•��� \ a III
PROPOSE® IMPROVEMENT LOCATION:
Address: 10725 S OCEAN, DR. UNIT # 30.0 JENSEN BEACH, FL 34957
Legal Description: HOLIDAY OUT AT ST LUCIE BLKC LOT 20 AND EQUAL PRO-RATA INTEREST IN COMMON ELEMENTS.
(OR 625-2115; 240.6-2941)
PropertyTax lD #: 4511�61-�10T-000,� Lot No. 20
Site Plan Name:
Project Name,
Setbacks Front Bach:
Right Side: Left Side:
Block No: C
Ill DETAILED DESCRIPTION OF WORK: III
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW W MILL FINISH METAL ROOF
CONSTRUCTION INFORMATION:
Additional WOM to be nertorMeO under t is permit- — check a apply-.
0HVAC 13 Gas Tank ®Gas Piping _ Shutters windows/Doors
DElectric U Plumbing OSprinklers OGenerator ('®C Roof
Total Sq. Ft of Construction: 674 S . Ft. of First Floor:
Cost of Construction: $ 6.200,00 Utilities: OSewer ®Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name CAROL JI BIERMAN (TR)
Nacre: Ronald) Latta
Address: 16725 S OCEAN DR #1300
Company: Treasure Coast Concepts Inc.
City; JENSEN BEACH State: FL
Address. 3456 8W, Pluto St
Zip Code: 34957 Fax:
City: Port Saint Lucie State:FL
Phone No. 517-206F769.9
Zip Code: 34953 Fax: ' ,2-905-4910
E-Mail:
Phone No. 172-477-i1130
Fill in fee simple Title Holder on nod page ( if different
E-Mail: fcconcepts a@aQl.com
from the Owner listed above)
State or County License: CCC1330362
If value of construction is $2500 or mar% a RECORDED Notice of commencement is required.
SUPPLEMENTALCONSTR.UCTIG - JEN.tAWINFORMATION;. .
DESIGNER/ENGINEER: x Not Applicable
Name:
Address: _
City: State:
Zip: Phone
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State
Zip: Phone:
FEE SIMPLE TITLE HOLDERS x Not Applicable
Name:
Address:
City:
Zips Phone-
BONDING COMPANY., x Not Applicable
Name,•
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVR: Application is hereby made to obtain a permit to do the work and installation as indicated.
t 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 an applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult wth 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, consultywidh lender or �ttorney before
as Agent for Owner
STATE OF FLORIDA,
COUNTY OF 3L, U c,�a
The forgoing instrument wa acknowledged before me
this, day of I I 0 vem & -- , 20 l by
Ra no 9 Iernrna, - -
Name of person making statement
Personalty Known OR Produced identification
Type of Identification. FL- OL-
Prod. d FL- ILL,
C
(Signature of Notary Pu Ric- state of Florida )
Commission No. � w 1 Z D
REVIEWS I FRONT I ZONING
COUNTER REVIEW
Rev,
LUc
The fo going instr� {me t was acknowledged before me
this day of N . 20 jJ by
' ' o•h&\ . L°L, `
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced L
(Signature of Notar"ubitc'c--Stat
cc
DEANNA MARIE GIVENS
' Iimi45lOR o ?""1'�? Y COMPJIIS(IG 0220_3
FF 911420 N r k= EXPIRES: December 10, 202D
Public Undenvrlters
_ .• '.;F «<o BondedThruNot ry
SUPERVISOR I PLANS I VEGETATION I SEA TURTLE f MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW