HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/5/15 SCABN1NED Permit Number: 15b 8 - ppl' 7S
St. Lucie CountyOE
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Building Permit Application AUG Q 5 2015
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 10410 S Ocean Drive, Jensen Beach, FL 34957
Legal Description: HUTCHINSON ISLAND CLUB -A CONDOMINIUM COMPRISING A PART OF SECTION 11 TOWNSHIP 37 RANGE 41 MPDAF
Property Tax ID q: 4511-514-0000-000-9 Lot No. 2
Site Plan Name: Hutchinson Island Club Condominium Association Inc Block No.
Project Name: Hutchinson Island Club Condominium Association Inc
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Flashing (24) newly installed Single Point Rooftop Anchors
Auumonai worn co oe errormea unuermis perms— cneCK au apply:
❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors L
❑Electric ❑ Plumbing []Sprinklers❑ Generator Roof
Total Sq. Ft of Construction: 216 S Ft. of First Floor:
Cost of Construction: $ 23,865.00 Utilities:[]Sewer ❑Septic Building Height: 120'
OWNER/LESSEE:
CONTRACTOR:
Name Hutchinson Island Club Condominium Association Inc
Name: Robert P. Komahrens
Address:10410 S Ocean Drive
Company: Advanced Roofing, Inc.
City: Jensen Beach, State: FL
Zip Code: 34957 Fax: (772) 229-7745
Phone No. (772) 229-0357
Address: 1950 NW 22nd Street
City: Fort Lauderdale State: FL
Zip Code: 33311 Fax: (954) 566-2967
Phone No. (954) 522-6868
E-Mail: PETSTAMI7 a1AOL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: RONNEYT@ADVANCEDROOFING.COM
State or County License: CCC 024413 /Q J
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUi�TA�7�N5�EU�1k4l�tFDR�Ii<
DESIGNER/ENGINEER: _ Not Applicable
Name: ThomasJ.Twomey
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 2e31 Exchange Court
Address: - - --- -
City: west Palm Beach ---_—____ -----State: PL'__-_
Zip:3mog Phone:lssl)seg=2ea4
.City:____---
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
-Address: -- --- - -- -- — -
-Address:____ -__------
City:
City:
Zip: _ _ Phone: -
Zip: - Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con ict 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 your Notice of Commencement,
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder - - — - -
STATE OF FLORIDA / STATE OF FLORIDA
COUNTY OF. CYl(1�_- nl . - - COUNTY OF -�SRA1}%(f-rCi -
The for sing instr ent was acknowledged before me The forgoing instrument was acknowledged before me
this day of T . 20 (laby this -g day of PrktAJf` 20 JS _by
Pete Stamile - President Robert P. Komahrens
(Name of person acknowledging) (Name of person acknowledging)
_ /J��.-tom -�'�„a� w>,-ct,r,�� rYv�- - r►��.., -
Si ure of Notary Publi ate of Florida) (ig ature of Notary Public -State of Florida )
Personally Known Produced Identification Personally Known x OR Produced Identification
Type of Identification kroduced Type of Identification Rcaduced_
/�o`p0.Y"e% II''LORRAINE SOR11N0 �o�'"`°6% TOMARA�¢MQ,,AIIRCENE MARTIN
Commission No. a<�� . t)COMMISSION 8EE219680 Commission No. My COMMISSION # EE139464
s r EXPIRES: August 24, 2016 I ",I+ EXPIRES October 19, 2015
Revised 07/15/2014
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