HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:\,\d 3'�3
RECEIVED
Building Permit Applica tion MAR 14 2019
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
ST. Lucie County, Permitting
Commercial Residential X
PERMIT TYPE: Ref OOf �� �\ � t\� �ow�cl SCANNED
EtY
PROPOSED IMPROVEMENT LOCATION: v St. Lucie Co rn
Address: 10851 5 Ocean Dr, # 54 Jensen Beach, FL 34957
Property Tax ID #: 4511-810-0061-000-3
Site Plan Name: Windmill Village By The Sea
Project Name: Reroof
DETAILED DESCRIPTION OF'WORKc . ,
Lot No. 54
Block No.
A �M ` S L%.- Cn J :7 , r Z r A S P i'f (l l-i r �_ � f J-ndT,r 1. ,
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator 1 Roof S 1 Pitch
Total Sq. Ft of Construction:: 24 L7 t2 Sq. Ft. of First Floor: LA
Cost of Construction: $ b 3 S \ 1-\ - O Q Utilities: —Sewer _Septic Building Height: %2-�'-E-
OWNER/LESSEE: r<.
CONTRACTOR: •,
Name Kenneth Alles
Name: Jesus Vasquez, Jr.
Address:-1�0'! cs � S • (D e-� \ b'r
Company: All American Roofing & Coating of FL
City: � l Cn Sze (, L) e o-c- 1r\ State:'1_
Zip Code: 3L19S`) Fax:
Phone No. % 7 4 - zi, U - (� `i O 2
Address: 340 SE Seville St
City: Stuart State: FL
Zip Code: 34994 Fax: 772-781-4408
Phone No 772-781-4410
E-Mail: Sc-t \ - j 0 1yF V\ - Co (*')
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Office@allamericanroofer.com
State or County License CC(.132g38� f
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
cc1F
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFF16VIT: 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 F COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A N0T OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. I YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING U NOTICE OF C ENCEMENT."
Clu
, ��, \� m
Signature of Owner/ Lessee/Contractor as Agent for Owner
Sign re of Co:ar
STATE OF FLORID
STA O LCOUNTY
OF � . IAC� C
COLIN OThe
forgoing instrument was acknowledged before me
The forgoing' eLedbefore me
this �day of T tN-+C 20]� by
thisa%dayo2by
YKex\,reAti p.\\e -t,
_Se s«5 "Cs . Sc.
Name of person making statement.
Name of person making statement.
Personally "/
Known OR Produced Identification
Personally Known V/OR Produced Identification
vP Tricia Atkins
Type of Identification egY.ffi
9 G Tricia A Ins
Type of Identification ..`��pb �v�,,
Produced A GG141430
Produced _'.. ' k Commission A GG14143
Expires: September 6, 2021
=` "' Expires: September 6, 211
1 g' Bonded thru Aaron Notary
aA ` Bonded thN Aaron N1
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No.fTGILA \Wo (Seal)
Commission No. C., ( -1 JqA L130 (Seal)
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