HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED
Date:
APPLICATION TO BE ACCEPTED
Permit Number:
NEQ)
RECEIVED
Permit Application
Planning and Development Services APR 2 4 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R e's-I Fe _nt 1 aT X
PERMIT APPLICATION FOR: Roofl
PROPOSED IMPROVEMENT LOCATION:
I
Address: 10725 S OCEAN DR LOT 470 JENSEN BEACH, FL 34957
Legal Description - HOLIDAY OUT AT ST LIUCIE - SEC B BLIK 0 LOT 16 AND EQUAL PRO-RATA INTEREST IN COMMMON
ELEMENTS (OR 1904-171) : :
Property Tax ID #: 4511-502-0086-000-8
Site Plan Name:
Project Name: I I
Setbacks Front Back:! Right Side: Left Side:
Lot No. 16
Block No. 0
DETAILED DESCRIPTION OF WORK: W061ke-,
1 1.
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW 5V MILL FINISH METAL ROOF
_311?_�i CH
- Cr
CONSTRUCTION INFORMATION:
Additional work to bMerformed i under this permit-- Check all t= apply:
11HVAC Gas Tank Gas Piping Shutters D Windows/Doors
11 Electric D Plumbing []Sprinklers ElGenerator Roof Roof pitch
I
Total Sq. Ft of Construction: 676i�
Cost of Construction: S. 6,100.00:
S Ft of First Floor:
Utilities"'t] SewerE]Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name ELAINE BUCHANAN
Name: RONALD LATTA
Address: 10725 S OCEAN DR L6T 470
Company: TREASURE COAST CONCEPTS INC.
Address: 3458 SW PLUTO ST
City: JENSEN BEACH State:FL
Zip Code: 34957 Fax.
Phone No. 772-229-0935
City: PORT SAINT LUCIE State: FIL
Zip Code: 34953 Fax: 772-905-4910
E-Mail:
Fill in fee simple Title Holde . r on next page (if different
Phone No. 772-777-8130
E-Mail: TCCONCEPTS@AOL.COM
from the Owner listed abq! I ve)
1
State or County License: CCC1 330362
1 1
If value of construction is �;2500 or more, a KELUKULU IMOTICe Or Lommencemem; is requircu.
I
SUPPLEMENTAL CONSTRUCIlur U N LAW INFORMATION:
DrSIGRER/ENGINEER: _2L Not A' plicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: St6te:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT:
I certify that no work or installation has c
St. Lucie County makes no representation
which is In conflict with an,� applicable Ho
structure. Please consult w th your Home
Ication is hereby made to obtain a permit to do the work and installation as indicatecl..
I
e�nced prior to the issuance of a permit.
is granting a permit will authorize the permit holder to build the subject structure
)Wners Association rules, bylaws or and covenants that may restrict or prohibit such
4rs Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requestel d permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the FloAda 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, ails, 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 wi der or an attorney before
._6 — --A;-- ir hieitira r%f rnmmcxnrPmPnt
6ml 3 111 1cl full is wwwl n wl I ft
r
Signa of tra en eHo
=OF
Signature of Owner/ Lessie/Co—ritrictor'as gent for Owner
STATE OF FLORID
COUNTY OF
FL( I A
COUNTY OF _ _ -
F KI
The forgoing inst3entt a acknowledge d' before me
_",7 s
' Z
The inginstr� �entm�a acknowledqeA before me
this day of 20M by
thisZ2L day of k __, 2i by
Name of person making stateme�t
-Name of person making statehient
Personally Known D OR Produced Identification
Personally Known OR Produced Identification I/
Type of Identification
Type of Ident! rcan
Produced Z-�C-
Produced
PSIgnatu
A A
Sigin'ature of Nota v P ... I'Aw of FloA&YIS R ROCK
'o Notary; Public - State of Florida
(Signature of Nota�
------ LSEN
AREN S. NIE
Commission No. Corn e0t)n # FF 996539
Commission No.
S Corn7)i�ooAFF115637
F
MYCO 11 on _xpires
My Cox. Expires Sep 21, 2020
I
June 12, 2018
Bonded through National Notary Assn.
P_
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
Rev. 8/2/17