HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: December 2017 Permit Number: « t • Q S3 3
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 10725 S Ocean DR, Lot 394, Jensen Beach, FL 34957
Legal Description: HOLIDAY OUT AT ST LUCIE - SEC B BLK Q LOT 18 AND EQUAL PRO-RATA INTEREST IN COMMON ELEMENTS (OR 3957-676)
Property Tax ID #: 4511-502-0135-000-7
Site Plan Name:
Project Name: Kemp
Setbacks Front Back: Right Side: Left Side:
Lot No. 394
Block No. Q
DETAILED DESCRIPTION OF WORK: I
Remove entire 10sq of existing roof shingles system. Install new 1" Snap -Lock Galvalume (Kynar
Coated) metal roof system with peel and stick underlayment. Includes new flashing, boots, jacks and
pipe vents.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit— check all apply:
0HVAC 0 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
0 Electric 11 Plumbing Sprinklers 0 Generator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 10sq
Cost of Construction: $ 6,975.00
S Ft. of First Floor: _
Utilities:U Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael F Kemp & Margaret I Kemp
Name: Crystal Anderson
Address:10725 S Ocean DR, Lot 39
Company: Olneya Restoration Group, LLC.
City: Jensen Beach State: FL
Address: 4253 SW High Meadow Avenue
Zip Code: 34957 Fax:
City: Palm City State. FL
Phone No. (805) 602-2356
Zip Code: 34990 Fax: 772-925-8417
E-Mail: mkemp@cloudinc.com
Phone No. 772-222-5019
E-Mail: Ilawrence@olneya.Com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CCC1330974
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�Sl1PFLEM ,NTi4�C,ONSTftUCTIyQ;N LIEN;'LAW`INF®FtIVI TION'";° ' "r �` � "
re,y'ei r., aF.:,G:a�, i�ri.S .:.,"t r_..> . ,3.:.:
r. t; : .._:.r�Trti ,_... ��?, .. ?r; .',..
`_-..;::• , 4 �'....�. ..; >?...: r ,..?...•ni..
t . � � , t
DESIGNER/ENGINEER:
� Not Applicable
MORTGAGE COMPANY:
Applicable
Name:.
Name:
,�Not
:Address:
Address:
'City:
State:
City:
'State:
21p: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
_)ig- Not Applicable
Name:
Name:
.Address:
Address:
City:
City:
Zip: Rhone:
Zip: Phone:
I :certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyy 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
strGcture. 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 buildingpermillapplications are exertipt.from undergoing a Lull concurrency review: room,additions,
accessory structures, swimming pools,`fences,'walls, signs, screen rooms and accessoryuses 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
commencinkm6rVor record i1w vour Notice of Commencement._
actor as ARenffor
STATE OF FLORIli
COUNTY OF
The forgoing..instkument was acknowledged before me
this day of bd 20 I1 by
bus
Aca
(Name.of peXson acknowledging.)
_(SignatuNotary Public- State of Florida )
Personally Known_ OR Produced. Identification
Type of Identification Produced
Commission
Revised .07/ 15/2014
NEGANIEANETTE
NotaryPublic-5te
C1�.X/ YOB S
Signature of Contractor/License Holder
STATE OF FLORIDA.
COUNTY OF`UQ&4
The forgoing instrument was acknowledged before me
this VR day ofbk-Q_'4 %.1WLL_ 20 1 by
(Name oT person acknowledging )
rn. qft"L��
(Signature o N tary Public -State of'F1'orida)
Personallyknown OR Produced Identification
Type .of Identification Produced
MyCOMM. rAVn- ..r._..
Bonded through %LW1at Notary Assn•
R JEANETTE LAWRENCE
NotaryPublic - State of Florida
r....,_;wnn # GG 097477
Bonded through Nat onal Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
'REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW'
DATE
COMPLETE
I N li'IALS