HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL 0PLICABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Da I : ' ( Permit Number: 1 �� SCANNED
BY RECEIVED
st LLlcie County
Building Permit Application SEP 14 2018
Planning and Development Services ST. Lucie County, Permitting
BuiJ, ding and Code Regulation Division
23C 0 Virginia Avenue, Fort Pierce FL 34982
PIN Ine: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X—
PE
MIT APPLICATION FOR: Roof
PR
? POSEDIMPROVEMENT LOCATION:
Add
10851 S. Ocean Lot 55 Jensen Beach FI
Lega Description: WINDMILL VILLAGE BY -THE -SEA CONDOMINIUM NO 1 UNIT 55 AND PRO-RATA SHARE IN
COMMON ELEMENTS OR 3925-1792
Property Tax ID #: Lot No. 55
'10851 S. Ocean Lot 55 Jensen Beach FI
Site I�" a Ian Name: Block No.
ProjJct Namea0851 S. Ocean Lot 55 Jensen Beach A
Sett acks Front Back: Right Side: Left Side:
i4
DETAILED DESCRIPTION OF WORK:
Rep,, 'ace Roof 'o
/
II v ,/� t
i G ✓ � Sh � 1� 5 /Q PE/ l'4 C
CO STRUCTION INFORMATION:
itiona . work to �. e e orme un er t is permit —check a apply:
HVAC 13 Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
�'� Electric 0 El Plumbing ❑Sprinklers Generator 2 Roof Roof pitch
41
Tota I Sq. Ft of Construction: S . Ft. of First Floor:
Cos lof Construction: $ ��QU Utilities: Sewer Septic Building Height:
O '
NER/LESSEE:
CONTRACTOR:
Na ''IeDouglas
Rice
Name: Dee Keihn
S. Ocean Lot 55
Add III
Company: Pdkroofing.inc
Cityl�i
Jensen Beach State:FL
Address: 1299 SW Biltmore St
Zip' it
ode: 34957 Fax:
City: Port St. Lucie State: FL
Phone
No.7329159139
Zip Code: 34983 Fax:
E-
ail:
Phone No. 7725280113
n fee simple Title Holder on next page (if different
Fill
E-Mail: pdkroofing.inc@gm il.com
from
the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW.INFORMATION:
DES
Name:
Add
City
Zip:
11GNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
less:
I State:
Phone
FEE
Na
Address:
City:'
Zip:
j' IMPLE TITLE HOLDER: _ Not Applicable
'e:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Phone:
Zip: Phone:
OWN,!
W ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi 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
struct re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In conlideration 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 fd�lowing building permit applications are exempt 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
WARMING 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 posteq on the jobsite
before the first inspection. If yo�Q intend to obtain financing, coMIt with lender or atto ey before
commeicing work or repdrdin our Notice -.of -Commencement, I
Signitu�e of Owner Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF C�
The' forgoing instr4tneqv4ps acknowledg before me
this day of 20L& by
Name of person making statement
nally Known OR Produced Identification
of Identification
Pro
Signature of Contraor/License Holder
STATE OF FLORIDA 4-Lucic COUNTY OF
The for oing instru nt s acknowledge efore me
this day of 2C--.0 by
P k.E'J1 N�
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced _ n
(Sign ture of Notary Public -State of Florida) (Signature of Nort;Ip$lELSE
YP� . A Florida- Public
Com' fission NrZ11'1-!11�rArnMiSSlon(A°-_State of F Nota207484
EN S. SEN Commission No.xpires
=o°�YP`State of Florida -Notary Public =y P. my Commi a1O
5• Commission # GG 207484 �''�0110
; ��;�`��
June 12, 2022
s
,°ONI June 12, 2012
RE '' IEWS ISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
IVIED
DA
COMPLETED
Rev. 8%2/17