HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE
Date: -\\ Qn Q
SCANNED
BY
FOR APPLICATION TO BE ACCEPTED
Permit Number: ��� _ �� a
Building Permit Applica
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Roof
RECEIVED
I APR 2 7 2018
ST. Lucie Countyr Permitting
Residential X
Address: 794 Nettles Blvd Jensen Beach, FL
' i
Legal Description: Nettles Island Inc., a�Condo Section'11 Parcel 794 and pro-rata sh
(OR 649-2088; 4085-304)
PropertyTax ID #: 4502-501-0980-000,!-4
Site Plan Name:
Project Name: Chalikes Roof
Setbacks Front Back: Right Side: Left Side:
Remove existing shingle roof and
0HVAC U Gas Tank
Electric n Plumbing
Total Sq. Ft of Construction: 931
Cost of Construction: $ 7500
new metal roof
oas Piping
Sprinklers
Lot No. 794
Block No.
Shutters Q Windows/Doors
Generator ID Roof 3/12 Roof pitch
S . Ft. of First Floor: —
Utilities Sewer 0 Septic
Name Karen Chalikes
Address: 63 Sicklerville Rd j
City. Williamstown State: NJ
Zip Code: 08094 Fax:
Phone No. 856-297-9459
kchalikesl229@gmail.com
E-Mail: CG9om_ _ _ I
Fill in fee simple Title Holder on next page ( if different
i
from the Owner listed above)
Name: Jamie Cisco
Building Height:
Company: Sunshine Roofing LLC
Address: PO Box 1083
City: Palm. City State: FL
Zip Code: 34991 Fax:
Phone No. 772-260-8195
E-Mail: sunshineroofingllc@gmail.com
State or County License: CCC1327796
If value of construction is $2500 or more,,a RECORDED Notice of Commencement is required.
. wOR 61111
Y
MIN M-010,
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
I
Address:
City:
State:
City:
State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
I
Address:
City:
City:
Zip: Phone:
Zip: Phone: I
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 (granting a permit will authorize the permit holder to build the subject structure
which is in conflict 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 requeste� permit, I do hereby agree that i will, in all respects, perform the work
in accordance with the approved plans, the Flori IdIa Building Codes and St. Lucie County Amendments.
The following building permit applications are e� empt 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 Noti a of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend Ito obtain financing, consult with lender or an attorney before
rnmmanrina wnrle- nr rarnrrlma vni it NntirP of rnmmPnr.PmAnt_
ature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI A
STATE OF FLORIDA
COUNTY OF t ),UCIe—
COUNTY OF St Lucie
The f ing instrume t was ack owledg I fore me
The f ing instr ent as acknowledgg¢,�fefore me
day 20 by
this day of �, 20
this of
�by
en 0-Ago- (ks�s
Jamie Cisco
Name of person making statement I
Name of person making statement
Personally Known OR Produced Identification X
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced license
Produced
ignat a of o lids 'F °f a
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My Commission F//€23A179
Commission 8/6r2o18eai1
c State of FlorigLa
CommiluegellSeal
OF28/2019
ssion FF 230179
REVIEWS
FRONT
ZONING I
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17