HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-6-2018
SCANNED Permit Number:
BY % RE---]
CEIVED
St Lucie COUMY
Building Permit Applicatio FEB 0 7 2018
Planning and Development Services ST, Lucie c-bun s I�@Yfl11�Eif1Q
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Yes
PERMIT APPLICATION FOR: Roof -
PROPOSED IMPROVEMENT LOCATION`:., -
Address: 109 N Las Olas Dr, Port St Lucie, FL
Legal Description: Beach Club Colony Sec one sely 48.17 ft of Lot 16 (or 3297-946)
Property Tax ID #: 4511-500-0033-000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.16
Block No.
Tear off tat and gravel roof down to the plywood deck. Re -nail deck with 8D ringshank nails. Install
Tri-built self -adhering modified metal underlayment. Install Extreme Metals 5V metal roof system with
1-1 /2" woodzac screws.
CONSTRUCTION] N FORMATION:.
Additional work to je erformed under tispermit—check
❑HVAC L_J Gas Tank []Gas Pi
Piping
all apply:
Shutters
❑ Windows/Doors
11 Electric 0 Plumbing
Sprinklers
ElGenerator
Roof 3 5 Roof pitch
Total Sq. Ft of Construction: 16sq
S Ft. of First Floor:
Cost of Construction: $ 7900.00
Utilities:lnSewer Septic
Building Height: 8
OWUtR/LESSEE:
CONTRACTOR:-
Name Walter Moon / Moonenter LLC
Name: Steven Drake Marston
Company: Manta Ray Construction
Address:12950 St. Davids Ct
Address: 85 S. Las Olas Dr
City: Wellington State: FL
Zip Code: 33414 Fax: NA
City: Jensen Beach State: FL
Phone No. 561-252-5478
Zip Code: 34957 Fax:
E-Mail: moonenterllc@comcast.net
Phone No. 772-284-2889
E-Mail: stnuttz@gmail.com'
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CCC1330490
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:
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 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 our Notice of Commencement.
Signature of O / Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIIQA '
STATE OF FLORIDA� /
" "
COUNTY OF c_>* l Ju-GCx,
- ."
COUNTY OF � - l�-�
for
The for,ggoing instr m t as acknowledged before me
The fo�r��gppmg instru n was acknowledged before me
this of 20A_ by
this L(E)lay of 20 l by
1,ie)A r 79. rfoo►J
SA-e_\)-WDra�t yy\a 'S+ON
Name of person making statement
Personally Known OR Produced Identification
Name of pers n making statement
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced'I rys L1Cey1SL
Produced
(Signature
tl
(Signature oCHERYLOTTENSMITM
" CHERYL A H ENSMITH
Commission No
MISSIof�Qogwoo
Commission
••= ISSION #Wabb4o0
., EXPIRES April 04, 2021
�. EXPIRES April 04, 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVI
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17