HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AI
Dal
3PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
AA IN SCANNED Permit Number: Y4a�'
BY
—St. LI�C�RC���1 RECEIVED
Building Permit Applicat on AUG 01 2018
Plan`
Build
230(
Pho�
ing and Development Services ST. Lucie County, Parml>atlM
rig and Code Regulation Division
Virginia Avenue, Fort Pierce FL 34982
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PER
AIT APPLICATION FOR: Roof
?
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a
rkras wr.... ,nr, ...o. F� „ k „x.,.,,;, ,,, r... �.,,,c, ,,.e ,,, .. a. sa
12038 RIVERBEND RD
Address:
Legal
escription: BAY ST LUCIE LOT 10 (SUBJ TO ESMT TO C AND SFFCD) (MAP 44/22N) (OR 3849-1629)
Prope
y Tax ID #: 4422-502-0014-000-0 Lot No. 10
Site P
3n Name: Block No.
Project
Name:
Setb�
ks Front Back: Right Side: Left Side:
.,1 :
Imo, F"?G
3;,a ,.7: .. v „_, , , '�.. .y,, , u �_, ... • ._ ' �1'N ��ies`, r � ,, , >. / 4
RE-R
OF. REMOVE EXISITING ROOF AND INSTALL A NEW TILE ROOF
PITC
5/12
30,0
D$
x y j£.i N4 6 fir'4.2 H
"ak�Q
•.r� ..H E.� <<..�� tom. %z
ona wor to e e orme under t is permit - c ec a apply:
Gas Tank ❑Gas Piping Shutters Winclows/Doqrs
Electric Plumbing Sprinklers_ Generator Roof Roof pitch
iq
�HVAC
Total
Cost of
q. Ft of Construction: 2.9—D-D S Ft. of First Floor:
Construction: $ 30,000 Utilities:] Sewer Septic Building Height:
Yr {{
d,�• £' aq
�•33
,A,,. <�, / Y+n' . � r +✓/�/r�„y, ^�
Justin G Poma
� � •HZ H' H 3,-u�.. h J5/r„hL;
Name: JOSEPH KOLINOSKI
NaME
12038 RIVERBEND RD
Company: ONSHORE ROOFING SPECIALISTS, INC
Address:
sl State:fl
Address: 4401 SE COMMERCE AVE
City:
Zip C
de: Fax:
City: STUART State: FL
Phon
No. 772-263-0360
Zip Code: 34996 Fax: 772-283-1557
I:
E-Ma
Phone No. 283-1505
ee simple Title Holder on next page ( if different
Fill in
E-Mail: INFO@ONSHOREROOFING.COM
State or County License: CCC1328994
from
he Owner listed above)
If valu
of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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(-,Y .i s'' S 'T3Y„ � � � �.,s �,'�`°''" T ''�^Sd� T
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F_
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DEI5IGNER/ENGINEER:
_ Not Applicable' MORTGAGE COMPANY: _ Not Applicable
Na
e: Justin G Poma Name: JOSEPH KOLINOSKI
AdJ
ress: 12038 RIVERBEND RD Address: 12038 RIVERBEND RD
City:
PSI State: City: STUART State:
Zipl
Phone Zip: Phone:
FEE
SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Na
e:
Name:
ress:4401 SE COMMERCE AVE
Address:
Ad
Cit
City:
Phone:
Zip: Phone:
Zip II
OW
ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cer
fy that no work or installation has commenced prior to the issuance of a permit.
St. Lt
cie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whit
structure.
is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In co
sideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in ac
orclance 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,
acce
ory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAF
NING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr
vements to your property. A Notic -of Commencement must be recorded and posted o the jobsite
befo
a the first inspection. If you intendto obtain financing, consult with lender or an rney before
com
encing work or recoLdft yoifr Notice of Commencement.
Sigr
3ture of O / /Contractor as Agent for Owner
Signature of C tract License Holder
ST�TE
OF RI
STATE OF FLORID '/I--
CO�INTY
OF A
COUNTY OF V`�7 V,
The
oing instr en as ackno�ledg b ore me
The f oing instr ent ackno ledg C1C1' me
this'
day of 20' by
this T da of 20by _
cyb
ll ^^
v L C �b
GrV of pers n ing statement
Name of per o aking s atement
Personally
Known OR Produced Identification
Personally Known OR Produced Identification
Typ
of Identification
Type of Identification
Pro
uced
Produced
(Sigiiatur
otary Pu ' - State of Florida)
(Signatur of Notary P - too Florida )
Co
s Nota t• of Florid S a
' h Neal
vAy
Commiss No. NO q P*0*te of Florid.
T sha Neal Hutchinson
Hutchinson
My Commission GG 148949
y Commission GG 146949
for Expires
ors Expires 10/01/202
n° 10/01/2021
RE
IEWS
FRONT
ZO II40�
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGRO
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
EC REC
IVED
o
DA
CO
PLETED
Rev. 81
2/17