HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: [qunOJ apn-) -IS Permit Number:
Ae
a3NNdDS RECEIVE®
Building Permit Application W'2 6 2015
Planning and Development Services SCANNED PERMITTING
Building and Code Regulation Division BY St. Lucle County, FL
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercla 0W1tY Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 8735 S OCEAN DRIVE JENSEN BEACH/ CLUBHOUSE
Legal Description: SEE ATTACHED PROPERTY CARD
]MW41T FAR OF SZFTM FT OF NBBBFNFT OF FMLTSE=UMD3E.WOFS0.AIA...1 T1B10.0FSCCCFNOM MTN11935FTM FT OFN289.SOFT MOW WNN OF SRAM MS BO DEG 23MNU SECEYOFT TOMB OF W U.THN RDEGLMA
PropertyTax ID p: 3534-111-0005-000-5
Site Plan Name:
Project Name: ISLAND DUNES COUNTRY CLUB
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
Lot No.
Block No.
REMOVE EXISTING FLAT ROOF AND INSTALL A NEW TAPERED INSULATION FLAT ROOF
SYSTEM.
10,000
f. CONSTRUCTION INFORMAT ION:=
HoamonalworKco De errormeo unaer inls permit —CI
0HVAC Gas Tank Gas Piping
Electric 0 Plumbing ❑cl—Sppriinnklers
�Y'z_
Shutters ❑ Windows/Doors
Generator .Z Roof
Total Sq. Ft of Construction: SgI�Ft.� of First Floor:
Cost of Construction: $ %�/ d �� Utilities: LJ Sewer Septic
I
Building Height:
OWNER/LESSEES
CONTRACTOR:
Name Island Dunes Country Club Inc
Name: JOSEPH KOUNOSKI
Address: 8735 S OCEAN DR
Company: ONSHORE ROOFING SPECIALISTS, INC
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No.979-3570
Address: 4401 SE COMMERCE AVE
City: STUART State: FL
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 INFORMATION:
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
Zip: Phone:
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, sc corns and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Recor Notice of Commencement may result in your paying twice for
improvements to your property. A Noti of Commencement must be recorded and osted on the jobsite
before the first inspec u injterid to obtain financing, consult with len I n ney before
commencing vvorrnecordingVerfjr Notice of Commencement.
STATE OF FLORIDA 0 STATE OF FLORI
COUNTY OF OA COUNTY OF T A, �t V `M4:iA
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
The for oing ins
this day of
20 tZ by
(Na of son acknowled ing)
(Signature of Notary Pu ic- tate of Florida
me
Personally Known OR Produced Identification
Type of Identification Produced
BNREI00 iCNWA!
i` '1 No" PuMle -Stan 01 FlOnaa Cpe�lasw 0 FF 205427
Revised 07/ 15/201 � ' Commission 0 FF 201 MyComm. Expl� Mat 3, 2019
.'.r�._., ' sav Cmmn. Exolma Mar: 2019
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