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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll 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
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The forgoing instru ent was acknowled before me
1
The forgoing instr ent
as acknowledgg before me
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this{ day of Pi 20'a by
this day of i
201 by
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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
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