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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: ReROof PROPOSED INPROVEIVIENT LOCATION: SCANNED Permit Number:Ho q -© L BY RECEIVED St. Lucie County APR 3 0 2019 Building Permit Applicati rSr Lucie County, Permitting Commercial Residential x Address: 10851 S Ocean Dr Lot 157 Jensen Beach, FL Property Tax ID #: 4511-810-0164-000-5 Lot No. Site Plan Name: Block No. Project Name: Cesta House DETAILED DESCRIPTION OF WORK: Remove existing shingle roof and install new metal roof CONSTRUCTION INFORMATION: 1 j Additional work to be performed under this permit —check all that apply: Mechanical _ Electric _ Gas Tank _ Plumbing Total Sq. Ft of Construction: 1000 Cost of Construction: $ 6000 —Gas Piping _ Sprinklers _ Shutters _ Generator Sq. Ft. of First Floor: 1000 Utilities: _Sewer _Septic —Windows/Doors Roof 3/12 Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name Michael & Angelina Cesta Name: Jamie Cisco Address:5856 Mud Mill Rd Company: Sunshine Roofing LLC City: Brewerton State: _ Zip Code: 13029 Fax: Phone No. 315-952-4884 Address: PO Box 1083 City: Palm City State: FL Zip Code: 34991 Fax: Phone No 772-260-8195 E-Mail: mcstowing@aol.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail sunshineroofingllc@gmail.com State or County License CCC1327796 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Address: City: 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 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 financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. Signa,Xe of Owner ssee Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FL RID COUNTY OF V LW, e__ STATE OF FLORID COUNTY OF k c L VC I — The forgoing instru ent was acknowled before me 1 The forgoing instr ent as acknowledgg before me � this{ day of Pi 20'a by this day of i 201 by �l l 0_'t-66_ c'nixe Jamie Cisco Name of person making statement. Name of person making statement. Personally Known OR Produced Identification ►'� Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced S W F a cae°on a KluegelNotary (Signat re of Notary ut-'C-, eo i sy r(SignatueofN!otaryF�bI5-.J�— No}t�°`P Ez bed a/2o19 �2 No. P lic State of Flodtla79ion : MarilyyrflI�1((luGG��a]P( Commission My cIMSIhh FF230179 ^• or n° Expires 0628/2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED KeV. 9/Zb/115