HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ,
` RECEIVED
Building Permit Application OCT 1;0 20118.
Planning and Development Services
Permitting Department CI
Building and Code Regulation Division St. Lucie County E
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT
APPLICATION FOR: Roof F=
PROPOSED IMPROVEMENT LOCATION:
Address:
1164 Nettles Blvd
Legal description:
Nettles Island Inc A Condo Section II Parcel 1164 and Pro Rata Share in common elements
Property
Site Plain
ProjecUI
Setbaiks
Tax ID #: 4502-501-1351-000-3 Lot No.
Name: Block No.
Name: Vanderklok
Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION'OF WORK:
Remove existing roof down to deck, renail deck. Install new underlayment and install new 5V Crimp 26
gauge Imetal roof
CONSTRUCTION INFORMATION:
ACIClitional work to e nartormed under this permit— check all apply:
VAC 0 Gas Tank E]Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator � Roof /1 2 Roof pitch
Total S Ft of Construction: 46o &e S . Ft, of First Floor:
Cost of�Construction: $ 15119. OD Utilities:] Sewer nSeptic Building Height:
OWNER/LESSEE:
:CONTRACTOR 4
NameT,homas Vanderklok
Name: Larry Mcdonald
Address: 1164 Nettles Bvd
Company: Southeast General Contractors Group
City: Jensen Beach State:FL
Address: 10380 SW Village Center Dr. #232
Zip Coe: 34957 Fax:
City: Port St Lucie State: FL
o.615-239-3042
Phone No.
Zip Code: 34987 Fax: 877-756-0007
E-Mail:l anderk@hotmail.com
Phone No. 877-407-3535
Fill in fee simple Title Holder on next page ( if different
E-Mail: LMCDONALD@SOUTHEASTCONTRACTING.COM
from th Owner listed above)
State or County License: CCC1330002
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE_ COMPANY: _ Not Applicable
NarrIe:
Name:.
Address:
Address:'
City:1 State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
_
Name:
Name:
Address::
Address:
City:l
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 grantinga permit will authorize the permit holder to build the subject structure
which i§ in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or such
prohibit
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 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
comm'encing work or recording our Notice of Commencement.
i
Signat1u of Owner/ Lessee/Contractor as Agent for Owner
Signatu tof Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF SV LuUe,
COUNTY OF Lucie,
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of S beX 20� by
pp
this __day of SA*mflbgQ , 20J& by
Name person making statement
Personally Known. OR Produced Identification
Name f person making statement
Personally Known !A- OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
re of ary Public- State of Florida)
(Sign re of Notary Public- State of Florio.),
�o'.a ::�BiE IDALINE RODRIGUEZ VAZQUEZ
�At,.••• ;, IDALINE RODRIGUEZ
MY COMMISSION #Fl:g
Commission No. i-F 4 * M(+5ii MISSION#FF209129
Commission No. W&cA aG k I
EXPIRES: May 16
2
EXPIRES: Mai! 16, 2019
Banded Thru Budget Notary Services
��
ale v R6�� Bonded Thru Budget Notin
f S
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATEI
COMPLETED
Rev. 8/2/17