HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPOth-flaWr `$M0CVPTED
Date: Permit Number. V
- - RECEIVED
Building Permit ApplicatioLential
FEB U Zo
Planning and Development Services
18
Building and Code Regulation Division Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 ucie County,
Phone: (772) 462-1553 Fax: (772)462-z57s Commercial XX
PERMIT APPLICATION FOR: Roof : Y.ArA a
-PROPOSED IMPROVEMENT LOCATION:'
Address- 10725 S OCEAN DR UNIT #437 JENSEN BEACH, FL 34957
Legal Description: HOLIDAY OUT AT ST LUCIE - SEC B,BLK 9 LOT 27 AND EQUAL PRO-RATA INTEREST IN.
COMMON ELEMENTS (OR 1519.119)
Property Tax lD #: 4511.502-0115.000.1 Lot No. 27
Site Plan Name: Block No. P
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK-
TEAR OFF 2 LAYERS OF EXISTING SHINGLE ROOF AND INSTALL NEW 5V MILL FINISH METAL ROOF
CONSTRUCTION INFORMATION:
itiona wor to e e orme under tispermit—check all apply:
E1HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator Fv_1 Roof
Total Sq. Ft of Construction: 742 S . Ft. of First Floor:
Cost of Construction: $ $%100.00 Utilities:OSewer O5eptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Thomas J Eldridge
Name: Ronald Latta
company: Treasure Coast Concepts Inc.
Address:1700 Jimmy Malone Rd
City: Liberty State: TN
Address: 3458 SW. Pluto St
Zip Code: 37095 Fax:
City: Port Saint Lucie State: FL
Phone No. 270-227 4726
Zip Code: 34953 Fax: 772-905.4910
E-Mail: -
Phone No. 772-777.8130
Fill in fee simple Tide Holder on next page ( if different
E-Mail: tcconcept$@aol.com
from the Owner listed above)
State or County License: CCC1330362
IIIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I II
SUPPLEMENTAL CONSTRUCTION-UEN.LAW INFORMATIQN:. .
DESIGNS ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
Cl State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _2L 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 Lude County mak no reprrees�entation that is granting a Permit will authorize the permit holder to build the subject structure
which is in conflict MR anyy A�pplicable Home Owners Association rules, bylaws caqr and covenants that may re�tnct or prohibit such
structure. Please onnsult wtth your Home Owners Association and review your Seed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, perform the work
In accordance with the approved plans, the Florida Building Codes and St. Lucle 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 fallure 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 pos d on the jobsite
before the first inspection. If you intend to obtain financing, consult wi ender or a ttorney before
commencing work or recording our Notice of Commencement.
x
Signet re of Owner/ Les?/Con as Agent for Owner
atu ctor/license older
STATE OF COUNTY O LORD r ���` �L
COUNTY OF �fiA Luc i L
The forgoing instrurrp�i�nt was acknowledged fore me
The forgoing Instrument was acknowledged before me
&60Ek1 It
this day of—/r�u'%- . 2Q& by
this � day of 20by
lDnL�of L`+4�
Name of person making statement
i�
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
L�
Type of Id lion
�
Type of Identification
Produced ., ' Lt y 2 I
Produced
ELVIS R ROCK
Notary Public - State of Florida
�-
" r �No - d
=„f My Ex Tres Sep 2 2 20
(Signature of Notary Public -State of Floridaj*0) IR
D av
Po,:
°N�d150 ional Notarf�+).
Commission No. GG �norNO
ST = Con
xp
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Neinkrantz
PUBLIC
F FLORIDA
!G159801
11 /13/2021