HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater W &-I V Permit Number:
I
RECEIVED
Building Permit Application NOV 4 2 2018
Planning a nd Development Services
ST. WOO County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof .. � �� �r � \.k* SCANNED
PROPOSED IMPROVEMENT LOCATION: BY
Address: 1i078 Nettles Blvd, Jensen Beach, FL 34957 St Lucie County
Legal Description: Nettles Island INC A Condo section II Parcel 1078 and pro-rata share in common elements
(or 927-442-2808-2815)
Property T
Site Plan N
Project Na
Setbacks
ID #: 4502-501-1265-000-3
ie:
Front Back:
Right Side: Left Side:
Lot No.
Block No.
-DETAILED DESCRIPTION OF WORK:
Tear off existing shingle roof. Install resito high temperature modified peel and stick underlayment. Install extreme metals 5V crimp metal
roof system to code with 1-1/2" woodzac screws. At the flat roof install Polyglass SA-V and Sa-P modified rubber cap sheet to code.
:CONSTRUCTION INFORMATION:
Additionatwor7Fto be
je orme un erthis permit—c check a apply:
�HVAC L =1 Gas Tank Gas Piping _Shutters Windows/Doors
❑a
Electric Plumbing ❑Sprinklers Generator Roof 2/12 Roof pitch
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Total Sq. Ft of Construction: 744 S . Ft. of First Floor:
Cost of Construction: $ 5000.00 Utilities Sewer 0 Septic Building Height: 10,
..OWNER/LESSEE:..
CONTRACTOR ..
Name Robert and Mary Frechette
Name: Steven Drake Marston JR
Company: Manta Ray Construction
Address:1078 Nettles Blvd
City: Jensen Beach State:FL
Address: 85 S Las Olas Dr
Zip Code: 34957 Fax:
City: Jensen Beach State: FL
Phone No.!72-475-6656
E-Mail:frechettem@bellsouth.net
Zip Code: 34957 Fax:
Phone No. 772-284-2889
Fill in fee simple Title Holder on next page ( if different
from the OI ner listed above)
E-Mail: stnuttz@gmail.com
State or County License: CM330490
it value of construction is'.52500 or more, a RECORDED Notice of Commencement is required.
a a
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SUPPLE
,MENTAL CON STRUCTION.LIEN, LAW INFO R'MATION
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: t Applicable
No _
Name: �
Name:
Address-,
Address:
City: State:
City: State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name: I
Name:
Address85 S Las Olas Dr
Address:
City: I
City:
Zip: I Phone:
I
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 Co l ntv 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 consideraltion 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
commencing work or recoLding your Notice of Commencement.
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4Signatur7,6f'0wne'r/
Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFF I�)01�e
STATE OF FLORIDA
COUNTY OF Sl� L-00-e-,
The for oing instru ent was acknowledged before me
this day of 2012 by
The forgoing instrume t wa acknowledged before me
this day of 20L by
r_)orOV1-ku A. peel ►
Seen Cno_Vk� lia sfn) lJ7 l_
Name & person making state t
Personally Known OR Produced Identification
Name of perso making statement
Personally Known y OR Produced Identification
Type of Identification
Produced v:t D-rvs L uy�se_
Type of Identification f
Produced
"
(Signature
Commissi
o FLa ITH
MY COMMISSION #
ri 4400
"•., ,, ..•' IRES April 04, 2021
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(Sign is a of Flori a )
�"°�''•• CHERYL A HO }�
TTEENSMI )
Com i i b-MyGAMMISSIE) # 03090400
EXPIRES April 04,2021
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Rev. 8/2/17