HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 3-21-18ALL APPLICABLEUNFO MUST )) �jE COMPLETED
Date: - )i 0
Buildin
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PPLICATION TO BE ACCEPTED. 1
SCANNEO Permit"Number,/e)�):;�_ od
BY
�Lucie CcaffOl/
Permit Application BAR v. I
Commercial, Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED
xIE Eli' L CATIONS kit£_
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Address:
Legal Description: Nettles Island Inc., A
Property Tax ID #: 4502-501-0645-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
II Parcel 459 AndPro-Rata Share In Common Elements (OR 3758-2483)
Side: Left Side:
Remove shingle roof and replace with Standing Seam panel
Lot No._
Block No.
Additional work to be erformed under this permit — check all apply:
11HVAC 11 Gas Tank "Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing O Sprinklers Generator Roof 5 - Roof pitch
Total Sq. Ft of Construction: 710 Sq. Ft. of First Floor: 710
Cost of Construction: $ 8,350 Utilities: 0Sewer Septic Building Height: 8 Ft
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OWjNE*f2%LESSEES, r
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CONTRACTOR 2ryJ,�
�e_�'S'3'k:� ,:_, i ..n. G4`k._1�v
Name
Name: :Jra_rr i C��y
Address: y(�Lla j-�11
Company: Sunshine Roofing, LLC
City: State: bH
Addre : �X �'3
Zip Code: 4487 Fax:
r1
City :1y1R y State: FL
Phone No. y Iq - S` 5 ' 0643
Zip Code: 34991 Fax:
Phone No. 772-260-8195
E-Mail: \-ar r 0-01 - C_OrIN
Fill in fee simple Title Holder on next page (if different
E-Mail: sunshineroofingllc@gmail.com
from the Owner listed above) I
State or County License: CCC1327796
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPflLEIUIE��ITAW AL��ONSTRUCTI(JN LIEItLINFORMATION-
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a4G =� ,.•5'b .- s'� ab-s ..,:, .' _-
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
I
City: State:
Zip: Phone
I
Zip: Phone:
1
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I
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 grantir
which is in conflict with any applicable Home Owners A!
structure. Please consult with your Home Owners Assoc
In consideration of the granting of this requested permi
in accordance with the approved plans, the Florida Buil(
The following building permit applications are exempt fi
accessory structures, swimming pools, fences, walls, sig
WARNING TO OWNER: Your failure to Record a
improvements to your property. A Notice of CI
before the first inspection. If you intend to obt
cornmencing work or recording our Notice of
I
j Rev. 8/2/17
a permit will authorize the permit holder to build the subject structure
ociation rules, bylaws or and covenants that may restrict or prohibit such
ition and review your deed for any restrictions which may apply.
I do hereby agree that I will, in all respects, perform the work
ig Codes and St. Lucie County Amendments.
im undergoing a full concurrency review: room additions,
>, screen rooms and accessory uses to another non-residential use
lotice of Commencement may result in your paying twice for
,nmencement must be recorded and posted on the jobsite
in financing, consult with lender or an attorney before
.nmmanramant
Signature of Owner/ Lessee Contractor as Agent for Owner
Signatu a of Contractor/License Holder
STATE OF FLO A
LAl e—
STATE OF FLOR A
Lull <'—
COUNTY OF
COUNTY OF
foreme
The forgoing instrurrient wa acknowledgrVb
The f rgoing instrument w acknowledg efore me
%-W by
this day of ax`Z/ 20y
this day of �C 20_
L ), rc1 C)3 lJ m adix e y, C,) 03F,
IP-r
U City I P i 5'�_o
Name of person making statement
Name of person�naking statement
Personally Known OR Produced Identification
✓
Personally Known '/ OR Produced Identification
Type of Identifi ation
Type of Identification
Produced �f o.enSP-
Produced
(Signat a of Nota I to o F r a
n ar o ary�ui� is tate of Florida
(Signat re of Nota
�.-'Notary
Publ' S e of Florid
No.tt���
arilyn KI�@I
=a . a
Marilyn KluegelCommission
Commission No. Kx� My Commis 230179
a
c My Commission FF 230179
'FFExpires06/28/2019
^ ; a Expires 06128�/2019
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