HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date: �a Permit Number:
Building Permit Application DEC 17 2o18
Planning and Development Services
Building and Code Regulation Division [ST. Lucie County, Pern
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: ourvviv�u
Roof. -
PROPOSED IMPROVEMENT LOCATION: St. Lucie County III
Address: 844 NETTLES BLVD Jensen Beach, F.L34957
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 844 ANDPRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-501-1030-000-7
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION -OF WORK:
Lot No.
Block No.
REROOF. RE VE XIS ING ROOF AND INSTALL A NEW 5V MET j ROOF SYS'
PITCH 4/12 - �� Q 1 . V J11 W yC �( C ✓)� v
7,0004
CONSTRUCTION INFORMATION:
itiona work to e e orme under
11HVAC f] Gas Tank
t—checkispermit
❑Gas Piping
a
apply:
_ Shutters
❑ Windows/Doors
Electric 0 Plumbing
Sprinklers
Generator
g Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 2200
5
Ft. of First Floor:
Cost of Construction: $ 7,000
Utilities:Sewer
ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name GaryHeverdinks.0 , , :-"•s -y:; ---:. '
Name: JOSEPH KOLINOSKI
Address: 844 NETTLES.BLVD Jehsen;Beach, FL34957
Company: ONSHORE ROOFING SPECIALISTS,,'INC
_.._....
City: LL - .. .. ; State: _
Zip Code: Fax:
Phone No.
Address: 4401 SE COMMERCE AVE
"' r FC
City: STUART a'. '`State:_;
Zip Code: 34996 Fax: 772-283-1557
Phone No. 772-283-1505
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: INFO@ONSHOREROOFING.COM
State or County License: CCC1328994
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN -LAW JNFORMATION:
Name:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
4401 SE COMMERCE AVE
Zip:
MORTGAGE COMPANY: _ Not,Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
UWNhK/ LUN-I-KAL[UK AFFIUVIT: 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 nten 'd to obtain financing, consult with lender or an attorney before
commencing work or re our Notice of Commencement.
Signature of ner a ee/Contractor as Agent for Owner
Signature of ractor/License Holder
STATE OF FLORI
STATE OF FLORID.%_,
COUNTY OF � QiN� IA
COUNTY OF f / JA
The fegoing instrurmnt was acknow,ledgpQefore me
The fo mg instrunlfellt as acknowledggd fore me
thi day of 20by
this -'ay of 20/ py
�b
- p✓Z I
Narde of person mak[lpestatement
NamC of person magi g-statement
Personally Known Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced '-
Produced
(Signature of Notary lic- State of Flor' a )
(Signature of No f F orid
Co eal)
otary Public f Florida
Commission N +R 'she NealMnson
,ar V Notary Public $tote 61 Florida
'a gyp' MY Commission GG 1/6940
Dar Expires 10/01=21
+f' Triehe Neel Hutchinson
dF
xpires laovzo2l
R
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17