HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONisle
ALL APPLICABLE INFO IVILIST'BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
[RE_C_E_IV_ED______1 I
Building Permit Application I SEP 2 8 2018
Planning and Development Services
I I ST, Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
1
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
way
PROPOSED 1'M"PRP ME'NT'L'O"CATIO'
AdcirQlss: 10851 S ocean Dr. #53, Jensen Beach, FL 34957
Legal ' Description: WINDMILL VILLAGE BY THE SEA CONDOMINIUM NO I UNIT 53 & PRO-RATA SHARE IN COMMON ELEMENTS (OR
260-789; 3540-2779)
Propeirty Tax ID #: 4511-810-0060-000-6 Lot No.
Site Plan Name: Block No.
Proje I t Name: JEAN TOWNSEND REROOF
Setbacks Front Back: Right Side: Left Side:
' r-WORK:
�DETAILED 'DE SCRI PTION OF REMOVE EXISTING SHINGLE ROOF SYSTEM DOWN TO DECKING, RENAIL DECK TO CODE.
INSTALL PEEL & STICK. iNSTALL METAL ROOF SYSTEM TO CODE.
f(r�ipb-LoNcz A6
UCTION N FOR1VI
-CONSTRI '):
'.AT
Additional
1__1,HVAC
work to be nertormed under this permit —check
11 Gas Tank DGas Piping
all
In
apply:
Shutters
F]Windows/Doors
0
Electric ElPlumbing
OSprinklers
12 Generator
R1 Roof Roof pitch
Total Sq. Ft of Construction: 1149
Ft of First Floor:
S1
Cost f Construction: $ 5800.00
Utilities Sewer []Septic
1
Building Height: 14
N�Efl,
X"
LESW:CONTRACTOR
Namel
JEAN TOWNSEND
Name: JESUS VASQUEZ, JR
Addrel
ss' 10851 S OCEAN DR, LOT 53
Company: ALL AMERICAN ROOFING & COATING OF FL
Address: 340 SE SEVILLE ST
City: JEN'SEN BEACH State: FIL
City: STUART State:FL
Zip C lode: 34957 Fax:
Phon No. 772-229-9323
Zip Code: 34994 Fax: 772-781-4408
E-Mail:
Phone No. 772-781-4410
Fill infee simple Title Holder on next page if different
E-Mail: OFFICE@ALLAMERICANROOFER.COM
from the Owner listed above)
State or County License: CCC1329384
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
I
DESIGNER/ENGINEER:, Not Applicable I MORTGAGE COMPANY: Not Applicable
Name: Name:
ress:
State:
Zipi Phone
SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
Zip
Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
'Not Applicable
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. Lurie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whicl- 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, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commence ent may result in your paying twice for
improvements to your property. A Notice of Commencement must a recorded and posted on the jobsite
before the first inspection. If you intend to obtain fiCC_�ancing, consult th lender or an attorney before
commencing work or recording vour Notice of Comm-ftemer)t
I,XN��N�m
a,
Sig ture of Owner/ Lessee/Contractor as Agent for Owner
Signa re C ntractor tens Hold
STATE OF FLORIDA
STATE FL IDA
COUNTY OF �' l ►�
COUNTY F
The forgoing instrument was acknowledged before me
The forgoing ins ent was acknowledg d before me
this��day of 20 by
thisday of 20 by
a J
1 oc,J •N
Name of person making statement , 2
Personally Known 36 OR Produced Ide if
US - e �2
Name of person 4naking statement
Personally Known � OR Produced Identification
Typ� of Identification
Type of Identification
Prouced XcProduced
la
C N
Sig
ature of Notary Public- State of Florida1:01 m
(Signature of Notary Public- St
Co
o
mission No. °D "
'� (Seal s
$py Pka Notary Public State of Florid
Yn 1M. Pittman
Commission No. Q,dmmissionGG08939
aD o
of Fob Pxpires 07/15/2021
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Rev. 8I/2/17