HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 16, 2018
Permit Number: 4511-311-0005-000-1
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BuNiAePILY01t Application
Planning and Development Services
RECEIVED
FER 21 ?BIB
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Depament
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XRt. Lucie Count
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 10751 S Ocean Drive, Lot Al, Jensen Beach; FL
Legal Description: See Attached
Property Tax ID #: 4511-311-0005-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Pelland
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing 26 squares of shingle roofing system, Re -nail decking to meet current code.
Install Peel and stick underlayment. Install new 5V galvalumeimetal roof system with necessary boots, vents and flashing
EcLSvAlo_�A U 1). , t�0.5e.t -
CONSTRUCTION INFORMATION:
Adclitional work to be performed under this permit —check all that apply:
11HVAC U Gas Tank ❑Gas Piping
11 Electric ❑ Plumbing Sprinklers
Total Sq. Ft of Construction: 2,357
Cost of Construction: $ 16,310.00
Shutters a Windows/Doors
Generator Roof 6/12 Roof pitch
!�Sci, Ft. of First Floor:
utilities: 0 Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jean Pelland
Name: Crystal Anderson
Address:10751 S Ocean Drive, Lot Al
Company: Oineya Restoration Group
City: Jensen Beach State: FL
Address: 4253 SW High Meadow Avenue
Zip Code: 34957 Fax:
,City: Palm City State, FL
Phone No. 772-932-4777
Zip Code: 34990 Fax:
E-Mail: 3seasprayfl@gmail.com
Phone No. 772-222-2019
Fill in fee simple Title Holder on next page ( if different
E-Mail: Ilawrence@olneya.com
State or County License: CCC1330974
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
N LAW INFORMATION:. '-
DESIGNER/ENGINEER:
Ntme:,
V. V. Not Applicable
MORTGAGE'COMPANY:. Not Applicable
Nme
Address:,
Address:
City: State`
City: State:
Zip: 'Phone,
'Zip: Phone:
FEE'SIMPLE'TITLE HOLDER:
NbtApplicable,j
BONDING COMPANY: Not Applicable
Name:
Name:
Address:_
Address:
City:
City:
Zip. Phone: -
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hdreby 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 ape'rmit.
St. Lucie County makes no, representation that is granting uG.r i
2iMIL Will authorize the permitholder to,build the subject structure
which isln conflict with,.any applicable Home Owners Assoc atioffrules, bylaws'or-and covenants that -may restrict or Prohibit such
structure; Please WnsultWith,ydOr Home Owners Association and review your.deed for any restrictions which,may apply -
In consideration of-ihe granting,cf. this requested permit,.I do f I ereby agree that. I Will, in all; respects i." if mhework
in accordance with the.approvdd plans, the Florida Building Co8es,arid St L66ie"CbuniyAmendments.
The following building permit applications are exempt from underg6ing.ar-full -con durrency. review: room,additions,
accessory,sth.ictur6s,,,swimming pools,.fences,, walls, signs, screen'roomss and accessory "uses to I ano . ther'non-rbsidential use
WARNING70 OWNER:,Your failure to Record a Notice of Commeftcement may result in your paying twice for
improvements to.your property. A Notice -of'Commencement-must ibe recorded and' posted on the jobsite
before the first- inspection. If I you intend to obtain fin'ancing, consult with lender oran attorney before
commencinework or recordinLzvo& Natit:P',rif Cnrnrn`PnrPmL=nt,
Id
Signature .ofbwner/ Lessee/Con'tractoras, Agent for,Owner I
Sign—ture df,Cont.rac' tor/11c.enkHoldbr
STATE OF FLORIDA
STATE OF FLORIDA,
C-b-UNTY'01
COUNTY OF
The fQrgoing..i nstrun)�entvras acknowledged1blefore me
thik��dayof_ VabQWlk by
The forgoing instrument was;acknoviledged b'efore me
this V11 dby6f: by
11V
t
Naiine.6fperson making statement
Name -of person making statement
Personally Known-L-� OR Produced Identification
Persohally KnoWh-4 OR Ptoduced-ldentificati6n
'Type of Identification
Type of Identification
Produced
Pro'cluiced—
m.I, ( n a Iry il-
(Sijnitu eNota'ry Public- State ol"Flon"cla)
(Sijnatu&of Notary PjGfr,c- giat o F orida,
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tf PL J�ANETTE LAWRENIFto
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REVIEWS
FRONT
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VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW
REVIEW
lkEVl§v
REVIEW
REVIEW
REVIEW
DATE
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[RECEIVED
DATE
COMPLE'rED
'Rev. 8/2/3.7
7'0!! hOMEANETTE1019ENCE
of Flo( da
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DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phon
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
ti
U CTI O NFL"I E�N`s{�L�A�1%
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-Not Applicable
State:
Not Applicable
MORTGAGE COMPANY:'
Name:
Address:
City: -
Zip: Phone:
BONDING COMPANY:
Name:
Address:
,•_ Not Applicable
State: _
Not Applicable
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 con lict 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 doh 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.
FA)
Signature of Owner/ Lessee/Contractor as Agent for Owner ,
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20_ by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced -
(Signature of Notary Public- State of Florida )
Commission No. (Seal) -
re crf Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing Instr—wrient was acknowledgecbefore me
this day of ItiQR 20 by
Name of person making statement
Personally Know- rr--J OR Produced Identification
Type of Identification _
Produced
Notary Public -
Commission No.c � ��T] PAf€�bN) kyerTE!A+n%R_
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SE
COUNTERA TURTLE. MANGROVE
_ . REVIEW'" = REVIEW ' .REVI REVIEW REVIEW REVIEW
DATE
RECEIVED
COMPLETED
Rev. 8/2/17
MEGAN JEANETTE LAWRENCE
Notary Public - State of Florida
- . CommissionN GG 097477
lR6l-P- 0S.3S
�SUPPLEM'ENTAL,CONSTRUCTIONi
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INFORMATfON:
DESIGNER/ENGINEER.
N Not.Appiicable
MORTGAGE COMPANY:
a_ N'ot Applicable
Name:.
P
Name:
Address:
Address:
_.
City:
State:
City,:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE. HOLDER:
Not Applicable
BONDING ICOMPANY:.
N of Applicable
Name:
Name:
Address:.
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is h'erebymade ;to obtain a p' ermitto do.the,w,ork and•installation as indicated.
[certify that no work or installation has commenced prior to the issuance' of a permit.
St. Lucie CountV makes no representation that is granting a permit will authorize the permitholder to' build the subject structure
which isin conflict with any applicable'Home Owners Association rules, bylaws"orand 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 thegranting of this requested permit, I d'o hereby agree that I will, irrall respects, perform'the work
in accordance with the.approued pians; the Florida Building, Codes and St. Lucie County Amendments.
The fo(ImAng�buildingipermit applications ate exempt from -Undergoing a full cpripfrency review: room. additions,
accessory structures, sMmming 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 saying tvrice for
improvements to your property.: A Notice of Commencement must.ber�ecord.ed and.posted on the jobsite
before the first,inspection If you intend to obtain financing, consult with tender or an attorney before
commencin'rr wnrle,ne r4mMilhiuvritif Nntiep of Tnmmenrramant-
ri i /.!� ��� V i�r�:L��c.�/L--'' I
��,.,�i�d� C :C��'l , r� l`(a S�•'�•=J
Signat/'Lessee/Contractoras Agent for Owner
Signature"ofontrecf)r%License. Holder
STATE OF FLORIDA fl `. ,�, (j
STATE OF FLORIDA { -
COUNTY OF j1J�CllbGC;I I
COLINTY OF �%J,. i jt f
The . going instr a was acE owled a before me
this day of iQ Lll).. 20� by
The forgoing instrument was acknowledged,before me
this, day of 0� tI i tars Ga;! ,, 20: 'fi by
Name of person making'statement
Name•of person making statement
Personally Knower OR Produced Identification
Personally Know "r�i OR Produced Identification
Type•of Identification
Type of Identification
Produced .
Produced
I^I�: A 1 '11 n t�r.
(Situr f Notary Public-Stat gna
tur o Notary Public- Stateeof
Florida
.>4YPu MEGANJ5AUETTELAWR
Commission No ; I Noi3ryPubic-State ofFi
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW_
REVIEW
REVIEW
REVIEW
AEVIEW
REVIEW
DATE
RECEIVED
DATE..
COMPLETED
ReV.8/2/17