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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INF MUS B COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l Permit Number: isu -5 - -� RECEIVED BuildiggTprmit Application OCT 3 0 2018 Planning and DevelopmentServices ST. Lucie County, PePFt7ftkil9 Building and Code Regulation Division '; ' ,`;' g 2300 Virginia Avenue, Fort Pierce FL 34982 - Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Roof. PRQPO5ED IMPROVEMENT L1, ON I''ON firot, 01 Address: 102 N. Las Olas Drive, Jensen Beach, FI 34957 Legal Description: BEACH CLUB COLONY -SECTION ONE NWLY 54.65 FT,,QF,6tJ44OR 1148-1896) gy Property Tax ID #: Parcel ID: 4511-500-0010-000-9 , St Lucie County Lot No. 5 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Shingle install on HALF of the duplex. Tie into tar and gravel. Aaaitional worK to be ertormea unaer tnis permit— cnecK all apply: L�HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors I 0 Electric D Plumbing Sprinklers a Generator Z Roof Roof pitch Total Sq. Fti of Construction: S . Ft. of First Floor: , Cost of ConI struction: S Lop Utilities: Sewer E]Septic Building Height: 11 .. -r �� r V. r'¢'`" k�ME�,�,�s�' � fib' �=trse`. b .f� ! 3� ��I.S�" Y ." O11VNR/LESSEE �� ����� tt^1�C �AM^+.bnd`).f,'T ..i:Lk"R7^3K,P,'dKG£!StiA�7�'�'• 1��SS©N ,w�y.<, � 'tY�,. a C TR�i�CTO`R'' �q yy, j 4 10 ,4 Name Wiliam V Stuck, Trustee of the 2018 Series L Land Trust Name: VRUA Address: 6694 Sw Busch St Company: THE ROOFSMITH City: Palm City State: Fl Address: 1171, a d Zip Code: 34990 Fax: City: FTM State: FL Phone No. 772-240-6796 Zip Code: 33458 Fax: E-Mail: Vanstuck@aol.com Phone No. 561.386.2109 Fill in fee siImple Title Holder on next page (if different E-Mail: Danny@theroofsmithfl.com from the Owner listed 'above) State or County License: CCC1327247 If value of construction is $2500'or more, a RECORDED Notice of Commencement is required. DESIGNE Name:_ Address: City: _ Zip: Phone X Not State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: . Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name' REHC Inc Address: 2240 Palm Beach Lakes Blvd, Suite 260 City: West Palm Beach State: Fl Zip: 33409 Phone:561-560-3450 BONDING COMPANY: Not Applicable Name: Address: City: 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 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 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 financinkconsult with lender or an attorney before commenaine work or recording vour Notice of Commencem 1 G Signature of Owner/ Lessee Contractor as Agent for Owner Signatur of Contra or/Lice se er STATE OF FLOI14 STATE OF FLORIDA COUNTY OF COUNTY OF 1 dAJ � �► The for oing instr ent was acknowled before me The f r oing instrume was acknowledged before me thisday ofJl�9._ , 2� by this day of 20+ by UC ( Q � tci_ Y)Ian `St.4 c 14 ai o 9aWe& person making statement Name of person making statement Personally Known OR Produced Identification V/ Personally Known OR Produced Identificationy' Type of 1 ntification Type of Identifica ' Produce(lL P Q Produced (Signature of Notary Publi (Signature of Notary i PAM' a� ADLEY Commission No MY LS84ISSION # FF96854 ;o ., j. I F I ON ommission No. '?: �� :? €€e Notar�,� Pub�tt �t to Florida '<�'$��r,t;. EXPIRES March 07.2020 of :ommission N GG 215555 db� �A3.0'S9 FlainaNaaysa wce.corr ""' My Comm. Expires May.8, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED / DATE COMPLETED Rev. 8/2/17