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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION71- ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLII Dater ��Z- � g- SGANN & Lurie C Building Pei Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 ON TO BE ACCEPTED Permit Number: N 03> - a1Y it Application MAR .Z-2 2018 Commercial Residential x PERMIT APPLICATION FOR: Roof I'I PROPOSED IMPROVEMENT LOCATION: Address: 1094 Nettles Blvd Jensen Beach, FL 34957 Legal Description: Nettles Island Inc, A Condo -Section II Parcel 1 Property Tax ID #: 4502-501-1281-000-1 Site Plan Name: Project Name: Setbacks Front Back: - and prorata share in common elements Right Side: I Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: I Remove existing roof covering. Renail deck, install Aluminum roof m () -&) l.rC7 and install 1" Snaplock Nailstrip .032 CONSTRUCTION INFORMATION: AcIditionalworWtobenerformedunder this permit— check a apply: F]HVAC 0 Gas Tank Gas Piping _ Shutters ❑ Windows/Doors ❑ Electric 0 Plumbing Sprinklers Generator Roof 3/12 Roof pitch Total Sq. Ft of Construction: 1048 sq ft Cost of Construction: $ 8000.00 S ' . Ft. of First Floor: _ UtilitiesP Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Floyd D Laamanen Address:1094 Nettles Blvd City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No.7723494248 Name: Larry Mcdonald Company: Southeast General Contractors Group Address: 10380 SW Village Center Dr -232 City: Port St Lucie State: FL Zip Code: 34987 Fax: 8777560007 E-Mail:laamanenfm@gmaii.com Fill in fee simple Title Holder on next page if different from the Owner listed above) Phone No. 8774073535 SIail: LMCDONALD@SOUTHEASTCONTRACTING.COM Slate or County License: ccc1330002 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIE.N"LAUV INFORMATION DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name:_ _ Name:_ Address: Address: City State: City: 3 State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address:10380 SW village Center Dr-232 Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby jade to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the7issuance 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 Irules, 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 undeI oing 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. M/A M✓"L Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF-- COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 8 day of March , 20_ by this 8 day of March , 20_ by Lang Mcdonald Larry Mcdonald Name of person making statement Name of pers n making statement Personally Known X— OR Produced Identification Type of Identification Personally Known OR Produced Identification Type of Identification Produced Produced (Signature of Notary Public- State P° Commission No. FF112219 COLLETTEBEMCH COMMISSION # FF112219 % EXPIRES: July 18, 2018 'Focr� Signat re of Notary Public- St ��� N OL ETTE BENICHIO mmission No. FF11221s ISSION#FF112219 % cc A. EXPIRES: July 18, 2018 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17