HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONz
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) 9 Q 6 r o g
/
Date: U ' J �Q Permit Nu
RKEIV
Buffib rrttt Applicatio JUN 12 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 0 U n ty, F L
Phone: (772) 462-1.553 Fax: (772) 462-1578 Commercial Res%en�iWrcI e �
PERMIT APPLICATION FOR: Roof " ' III
Address: 501 Nettles Blvd. Jensen Beach, FL
Legal Description: Nettles Island Inc. a Condo -Section II Parcel, 501 and Pro Rata Share in common elements
(OR 3783-2472; 3858-749) -
Property Tax ID #• 4502-501-0687-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Remove existing shingle roof and replace with new metal roof
L_..IHVAC L.J Gas Tank
1-1 Electric El Plumbing
Total Sq. Ft of Construction: 1062
Cost of Construction: $ 5800
Je9_1111L—URN-&a11 aPJAY-
Gas Piping _ Shutters
Sprinklers Generator
S Ft of First Floor: _
Utilities•. L _1 Sewer F Septic
QWindows/Doors
EIRoof 4/12 Roof pitch
Building Height: 8'
�,,}.�y�y�yy
72
fi m'La',fy^,
z
Name Nettles Property Investments LLC
Name: Jamie Cisco
Address: 6177 Saunders Way
Company: Sunshine Roofing LLC
City: Westerville State: OH
Address: PO Box 1083
Zip Code: 43081 Fax:
City. Palm City
State: FL
Phone No. 330-705-8479
Zip Code: 34991 Fax:
E-Mail• dikslp@hotmail.com
Phone No. 772-260-8195
Fill in fee simple Title Holder on next page ( If different
E-Mail: sunshineroofingllc@gmail.com
from the Owner listed above)
State or county License: CCC1327796
a vane at construction is �,zwu or more, a KtLVKuty IYUiIce 01 wunncu�cu�cu� �a cy.au c...
:.'+.�A
MORTGAGE COMPANY: _ Not Applicable
DESIGNER/ENGINEER: _Not Applicable
Name:
Name: —
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City
Zip: Phone:
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 granting a permit will authorize the rmit 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 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 undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, wails, 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
rnmmonrinv AAlnrk nr rarnrrllna Vnllr NlntirP of rnrnmPnrPmPnt_
Si na ufe of Owner/ Lessee/ ntractor as Agent for Owner
Signatur of Contractor/License Holder
,r/6-7-7 �r oezo�'�r�ry ,Nl«'Si�r c1 e.
ST E OF FLORID
STATE OF FLORIDA
COUNTY OF L Ix) a
COUNTY OF sc Lucie
The for�oIng instrument was acknowledged efore me
The for instrum
t was acknowledge before me
this day of pit 20by
thi� day ofrrC�
. 20 by
�la6ra I-�rK, e 0
Prig e CIS"
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification VO"_
Personally Known X
OR Produced Identification
Type of identification
Type of Identification
Produced i 6-C rise
Produced
c
(Slgnatu of Not i St, egif Fib
(Srgnatu a of Nota
Commission No. a° ::'`y Publy� Ne of Florida
Commission No.
,4,4Y P�, Notary Public State of Florida
` ° Marilyn (6 1
rii n Klee
INC° ,y Commission FF 230179
My Commission FF 230179
�OF Expires 06/28/2019
'� : spires 06/28/2019
Fvo'
REVIEWS
war v v� c:
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17