HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONLL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date: �5 �� Permit Number:
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f RECEIVE®
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Building Permit Application SAP 2 5 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce Ft 34982 X-----__
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
HERMIT APPLICATION FOR: Roof —� 1g�
ddress: 512 Nettles Blvd Jensen Beach FL
legal Description: Nettles Island Inc a Condo -Section II Parcel 512 and prorata share in common
elements OR 3975-1571
roperty Tax ID #: 4502-501-0698-000-0 Lot No.
ite Plan Name: Block No.
roject Name:
'setbacks Front Back: Right Side: Left Side:
Remove existing shingle roof and install new metal roof
(ddlttOnal WOfKEU oe e(IUI111Cu unuct uua f+c�nu- rl-I-
❑HVAC Gas Tank ❑Gas Piping
L1 oGenerator
Shutters Q Windows/Doors
Electric Q Plumbing Sprinklers Roof 4/12 Roof pitch
otal Sq. Ft of Construction: 1312 S . Ft. of First Floor:
ost of Construction: $ 9750 Utilities: Sewer 0 Septic Building Height: 8'
Name Walters Investments LLC
Address: 5478 Martini Lane
City. West Olive State: MI
Zip Code: 49460 Fax:
Phone No. 616-399-8807
E-Mail: bann.l@att.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Jamie Cisco
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.
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: —Not Applicable
i Name:
Name:
Address:
Address:
City:
City:
Phone
Zip: Phone:
Zip:
WNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I'll
certify that no work or installation has commenced prior to the issuance of a permit.
$t. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
iy' hich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
slItructure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
r!n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
1i! accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
he following building permit applications are exempt from undergoing a full concurrency review: room additions,
ccessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
ARMING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
Ii7iprovements 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
uinrl< nr nnrnrrtina vnt tr mritie a of rnrnmPnr AmPnt_
j, Signature of Owner/ Lessee/Contractor as Agent for Owner
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Signature of Contractor/License Holder
STATE OF FLORA
STATE OF FLORIDA
COUNTY OF5
COUNTY OF St, Lucie
The f ring inst�t merit wa* acknowledgedfore me
this day of ��e P T � 20�Y by
The or oing instrum nt as acknowledg d efore me
this day of Q0 20 by
IJ�'rvls
Jamie Cisco
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification V0_
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced �(MrllSg_
Produced
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(Signa ure of Nota
(Signa re of P li - t o F o d
e pie Notary Puq�{� j�to of Florida
Commission No. arilyn MG�geI
,Oa P4R Notary Public Stat ride
Commission o Kluegel �����
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%ca My Commission FF 230179
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o My Commission FF 230179
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F<o4' Expires 06/28/2o19
aF v�o°' Expires 06/28/2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
8/2/17