HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL.APPLICABLE INFO MUST, BE COM"" �7EQ FOR APPLICilTION TO BE ACCEPTED �
7 Permi`Num6er' % ~% • C) 7�
Date , h4 1 t
E uild'�ng Perlmit Application
Planning and Development Services DEC �a 7
Building and Code Regulddon pivision
2300 Virginia Avenue, Fort Pierce FL 34982
Phone::(772) 462=1.553 ,Fax: (772)*462-1578 Commercial Residential x
PERMITA000 ION FOR ROOf
PROPOSED IMPROVEMENT LOCATION:
Address 10725 S OCEAN DR. UNIT 55, JENSEN BEACH, FL. 34957
Legal Descriptfom HOLIDAY OUT AT ST LUCIE BLK G LOT 16 AND EQUAL PRO-RATA IN COMMON ELEMENTS (OR 3652-831)
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW 5V MILL FINISH METAL ROOF
-rc-1 i
CONSTRUCTION; INFORMATION:
L=tHUAC _ Gas Tank Gas Piping _ Shutters Windows/boors
El
Ell Electric Plumbing Sprinklers Generator Roof
Total Sq: Ft of Construction: 420, So. Ft. of First:Floor:
3,750.00
Cost of Construction• $ Utilities. O'Sewerfleptic Building Height:
-OWNER/LESSEE:
CONTRACTOR:
Name Eric Ellington ;
Name: Ronald Latta.
Cdn*any: Treasure Coast Concepts Inc.
Address:.10725 S Ocean Dr. Lot 55
Address:. -3458 SW Pluto St
City: Jensen Beach . state: FL
Zip Code: 34957 Fax:
City. PortSaint.Lucie State: FL
Phone No. 772-260-7370
rp .Code: 34953 Fax: 772-905.4910 .
SOcxrll - A�%
Phone No.. 772-777-8130
Fill.in feeatrnpte Trtle Holder on next page (f:diff'erent
" t
E Mail cconcepfs@aol.com
from the Owner listed above)
State -or County -License: CCC1330362
If value of construction is $2500 or snore a RECORDED. Notice of Commencement is required.
SUPPL9MEMAL`C0NSM1jCi ` ; WEN LAW INFORMAMON:.
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:'
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER. x :Not Applicable
BONDING COMPANY: x 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 Coun makes no representation that is granting`a permit will authorize the permit holder to build the subject structure
which is in conlict with au applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult. 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 :lende, ror an aftorney before
rnmmencinLy work or recordinE your Notice of Commencement. /7
,
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Sigma ure of Owner/ tesiie/Co&Yractor as Agent for Owner
ign ure:o or/Licens ; alder
sign*
STATE OF FLORIDA
STATE OF RI
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COUNTY OF
COUNTY OF
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The forgoing instrument was acknowledged before me
this/y5'3 day of N DVPMb%.Q- , 201? by
•
The forgoing instru ent was acknowledged
this _M day of 20
.
M�n
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Name of person making statement
Name of per making statement m gA
Personally Known _Le' OR Produced Identification
Personally Known OR Produced Ide:.
Type of identification
Type of'Identification
Produced
Produced_
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No., /.L_ ) CYNTMIA R
si No. (seal)
My COmmOSION
0 FFS/01�
EXPIRES
21 20"
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17