HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
DI
St Lucie Caufliy RECEIVED
--^- �---------- Building Permit Application
Planning and Development Services FEB 2 U 2019
Building and Code Regulation Division Permitting DeP.a.+,"pnt
2300 Virginia Avenue, Fort Pierce FL 34982 t. Ltr �4y
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentialc
PERMIT APPLICATION FOR: Roof
Address: 82 & 84 North El Mar Dr. Jensen Beach, FL
Legal Description: Beach Club Colony Section One from SE corner of Lot 32 run N 23 Deg 49 Min 31 Sec W 27.38 ft to POB, th cont
N 23 deg 49 min 31 sec.... 82 EIMar Dr Jensen Beach FL
Property Tax ID #: 4511-500-0065-000-9 (4511-500-0064-000-2 Lot No.
Site Plan Name:
Project Name: Ritschard Duplex
Setbacks Front Back: Right Side: Left Side:
Remove existing shingle roof and replace with new metal roof
❑HVAC
11 Electric
El Plumbing
Block No.
QWindows/Doors
Roof !_.J
Total Sq. Ft of Construction: 2960 S Ft. of First Floor: 2960
Cost of Construction: $ 11250 Utilities Sewer F]Septic Building Height: 8'
Name Dale Ritschard Jr.
Address: 762 Aspen Rd
City: Golden State: CO
Zip Code: 80401 Fax:
Phone No. 303-909-1112
E-Mail: daleritschard@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Jamie Cisco
Company: Sunshine Roofing LLC
Address: PO Box 1683
City: Palm City State: FL
Zip Code' 34991 Fax:
Phone No. 772-260-8195
E-Mail: sunshineroofingllc@gmail.com
State or County License: CCC1327796
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Address: 82 & 84 North El Mar Dr. Jensen Beach, FL
Legal Description: Beach Club Colony Section One from SE corner of Lot 32 run N 23 Deg 49 Min 31 Sec W 27.38 ft to POB, th cont
N 23 deg 49 min 31 sec.... 82 EIMar Dr Jensen Beach FL
Property Tax ID #: 4511-500-0065-000-9 (4511-500-0064-000-2 Lot No.
Site Plan Name:
Project Name: Ritschard Duplex
Setbacks Front Back: Right Side: Left Side:
Remove existing shingle roof and replace with new metal roof
❑HVAC
11 Electric
El Plumbing
Block No.
QWindows/Doors
Roof !_.J
Total Sq. Ft of Construction: 2960 S Ft. of First Floor: 2960
Cost of Construction: $ 11250 Utilities Sewer F]Septic Building Height: 8'
Name Dale Ritschard Jr.
Address: 762 Aspen Rd
City: Golden State: CO
Zip Code: 80401 Fax:
Phone No. 303-909-1112
E-Mail: daleritschard@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Jamie Cisco
Company: Sunshine Roofing LLC
Address: PO Box 1683
City: Palm City State: FL
Zip Code' 34991 Fax:
Phone No. 772-260-8195
E-Mail: sunshineroofingllc@gmail.com
State or County License: CCC1327796
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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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 permitto 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
..11 rA; r t\Ir.+ine nF f n�mcnromrant
Signature of owner/ Lessee/Contractor as Agent for Owner
Signatu of Contractor/License Holder
STATE OF FLORIDA
-611
STATE OF FLORIDA
COUNTY OF at. Lucie
COUNTY OF MO
The for oing instrument was acknowledgg�ibefore me
this_! day of G2bryp r� . 2(- � by
The fo going instrument was acknowledged. pefore me
this'' day of ��IOr•ua ni . 2� — by
}s r6
Smie `150-0
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification 1-
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced hmnse-
Produced
(Signs re of No S gaf�ilf�f�+ ale of Florida
StFjlgdj 'ate of Florida
gMarilyn
(Signat re of NoIV4-
Kiuegel
Commission No. ommi MOF 230179
?. Marilyn Klue el
Commission No. M commissi.OtPO179
s 06/28/2019
of Expires 06/28/ 019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE '
COMPLETED
Rev. 8/2/17