HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U� u
Date:� Ga SGANNF_U Permit Number:
RECEIVED
Building Permit Application APR 16 ma
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Roof -- f,,.kAa,\
Address: 80 AQUA RA DR
Legal Description. WINDMILL VILLAGE BY THE SEA-UNITTWO- BLK A LOT 15-LESS E 36.72 FT- (OR 3134-2378)
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Property Tax ID #: 4511-811-0016-010-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
REROOF. INSTALL A NEW
PITCH 5/12
10,000
TAL ROOF AND REPLACE9WEXISTING SKYLIGHTS
;CONSTRUCT)ON INFORMATION
d .... _ ..,, .:. s.,... ,. ., ..,..,..b , ...
Additionalworkto e e orme Iunder t is permit — check a apply:
[1HVAC Ei Gas Tanl ❑Gas Piping _ Shutters
Electric 0 Plumbing Sprinklers 0 Generator
Windows/Doors
W1 Roof 5*/12 Roof pitch
Total Sq. Ft of Construction: 1500,I
Cost of Construction: $ 10,000 I
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of First Floor:
SIn
UtilitiesSewer Septic
Building Height:
OU1/NER/LESSEE
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"ONE:
a j$p,'d 3&g;(�3y3y�,a, ` 3,7a33f3' v�fi
CONTRACTOR: g,,
3 i;{ 1,T§ „�iifriNptY
Name ROBERT BRANEN
Name: JOSEPH KOLINOSKI
Address: 321 SE Kitching Cir Stuart, FL 34994
Company: ONSHORE ROOFING SPECIALISTS, INC
City: I State: _
Address: 4401 SE COMMERCE AVE
City: STUART State: FL
Zip Code: Fait:
Phone No.262-210-1367 I
Zip Code: 34996 Fax: 772-283-1557
E-Mail:
Phone No. 772-283-1505
Fill in fee simple Title Holder on next page ( if different
E-Mail: INFO@ONSHOREROOFING.COM
from the Owner listed above)
State or County License: CCC1328994
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
1 �
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORIMATION
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: ROBERT BRANEN
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Name: JOSEPH KOLINOSKI
Address: 80 AQUA RA DR
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Address: 321 SE Kuching Cir Stuart, FL 34994
City:
Statg
City: STUART State:
Zip: Phone
I
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address: 440,SECOMMERCEAVE I
City:
I
City:
Zip: Phone:
I
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 gran lting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home OwnerslPssociation 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 perrIpit, 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 ex 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 inspect pa-ff y inte �o ob`iain financing, consult with lender o orney before
commencine work or�ecordin�tf Notice of Commencement.
Signature of w Le
ontractor as Agent for Owner
Signature of Contractor ;cerise Holder
STATE OF FLOR
STATE OF FLORIDA nA^
COUNTY OF
4 A ,
COUNTY OF [ la
The r oing i s um t wa
a knowled�� afore m I
The f in instru nt w s ack wledg a re me
this ay
�y
this day of 20�
f �1
Name o erson
ing statement
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Nam of person mak' statement
Personally Known OR Produced Identification
Personally Known R Produced Identification
Type of Identification
Type of Identi ' ation
Produced
Produced
(Signature of u lic- State of Florida)
(Signs a of No Pu ' - Stat of Florida )
Commissio No.
(Seal)
Commiss o. (Seal)
REVIEWS
FRONT
ZONING
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMP
Rev. 8/2 7.0"' Notary Public State of Florida
Trisha Neal Hutchinson jp'D`44ei� Notary Public State of Florida
< MY Commission GG,146949 Trisha Neal Hutchinson
�Aorh� Expires t0/07/2021; %,� * MY Cormission GG 146949
a o OF
a Expires 10l01/2021