HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CO
Date: a_-9- iS
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-15
Address: 130 N. Las Olas Dr. Jensen Beach
Legal Description: Bay Colony Section 1 Lot 1
Property Tax ID #: 4511 500 0025 000 7
Site Plan Name: Bay Colony
Project Name: New Metal Roof
Setbacks Front Back:
Remove Asphalt shingles and install'
❑HVAC
❑Electric ❑ Plumbing ❑Sprinklers Roof pitch
Total Sq. Ft of Construction: 2000 S Ft. of First Floor:
Cost of Construction: $ 4,800 Utilities:�Sewer ❑Septic Building Height: 151ft
FOR APPLICATION TO BE ACCEPTED
r _
,5(;ANNEO Permit Number:BY
1
t Lucie County RECEIVED
ling Permit Application JAN 2 9 2018
ST. Lucie County, Permitting
Residential X
Commercial
Left Side:
5V Crimp Metal Roof
"Shutters
❑Generator
❑ Windows/Doors
Roof �� 2
aOWNER/LESSEE r e
COdVTRACTOR'
Name Kerri Varney j
Name: Harry A. Hery
Address:130 N. Las Olas
Company: Pinnacle Roofing Sery
City: Jensen Beach State:FL
Address: 5905 SW Markel St
Zip Code: Fax:
City: Palm City State: FL
Phone No.
Zip Code: 34990 Fax:
E-Mail:
Phone No. 772-349-2735
Fill in fee simple Title Holder on next page ( if different
E-Mail: SUMMACOR@GMAIL.COM
State or County License: CCC 1326 185
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL CONSTR- -T-,I ICTION, LIEN LAINFORMATION
y:&,W
DESIGNER/ENGINEER: _ Not Applicable
N a m e: Kerri vamey
MORTGAGE COMPANY: _ Not Applicable
N a Me: Harry A. Hery
Address: 130 N. Las Olas Dr: Jensen Beach 34958
City: Jensen Beach
Zip: Phone
State:
Address: 130 N; Las Olas
City; Palm City
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Add Tess: 5905 SW Markel St
Address:
City:
City:
Zip: Phone:
Zip: Phone:
_J
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worK and Installation as inatcaLeu.
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
structure. conflict
cconsult wlthpyour applicable
lome Owners Association land review your dews or ed focovenants
any retrict reat strictions which may ct alprohibit such
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 Owner/ Lessee/Contra or as Agent for Owner
STATE OF FLO
COUNTY OF—M itC 11F,
The f r ing instru ent was acknowledge before me
thisday of 20 by
Name of erson making st ement /
Personally Known OR Pro uced Identification ✓
Type of Identification
(Signature of Notary Public- State of Florida
Signatulg ofContrac%r/Licenseidolcler
STATE OF FLORIDA
COUNTY OF , ' ►InFI
The for oing instrul ent was acknowledge efore me
this day of 20_rby
Name of Prson making s tement
Personally Known OR Produced identification
Type of Identific 'on
Produced
(Signature of Notary Public- State of Florida )
Commission No.
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# FF 115637
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Commission
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REVIEWS
FRONT
ZONING SUPERVISOR PLANS VEGETATION
SEA TURTLE
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COUNTER
REVIEW REVIEW REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17