HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/18/16 Permit Number:
RECEIVED JUL 2 5 7.016
"- SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Roof
Address: 18067 S Ocean Dr, Jensen Beach
Legal Description: WINDMIUVRIAGESY-THESEAFEPIATPPRCELNO2PNDFROM SWCORSEC 123741RUN N89DEG 55MIN 41SEC EPGSSECUIC0.19FfTOWLYR A1ATHN23DEG 49MIN 31
SEC WALD SO M,24Ff FOR POS, H COW N23 DEG 49 MIN 31 SEC WIM21W,T1AS89 DEG 59 MIN SEC WIV.IMFFTHSW DEG 03 MIN WSECE 1 11.83FT.7HN89 DEG 53 MIN 22 SEC E247.09R TO PO910R3471d )
Property Tax ID #: 4511-809-0003-000-5
Site Plan Name:
Project Name: Reroof
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED Pk CRIPTIONr,OF WORK:":
Remove existing roof material; renail deck to code. Install self adhered underlayment and
new metal roof. Hip Roof pitch = 4/12.
IGONSTRUCTION-INFORIMATION:
❑HVAC Gas Tank ❑Ga4-
�Electric OPlumbing []Spl
Total Sq. Ft of Construction: 11845
Cost of Construction: $ 82,600.00
n¢—cnecKan apply:
Piping _Shutters ❑Windows/Doors
nklers 11 Generator Roof
S . Ft. of First Floor: 11845
Utilities:USewerE]Septic Building Height:22'
OWNER/LESSEE: - ` "
CONTRACTOR: _ t
Name EFTX LLC
Name: Douglas E Roe
Address:4545 NE Ocean Blvd
Company: Code Red Roofers, Inc.
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-678-9674
Address: 3341 SE Slater St
City: Stuart State: FL
Zip Code: 34997 Fax: 772-287-7763
Phone No. 772-287-2829
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: becky@coderedroofers.com
State or County License: CCC1326574
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 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
commencine work or recordine vour Notice of Commencement.
x
_ Sig a re of Owner/ Lessee/ nt
STATE OF FLORI A
COUNTY OF (ti/1
The for ing instrury�ent was acknowledged before me
this day of// �! /� 20��by
ng
(Signature of Notary Public- State �f Flo da -
Personally Known OR Produced Identification
Type of Identification Produced
��(uxregyy��
',%\v S90A %9 z,
Commission No.
The forgoing instru ent was acknowledged before me
this j5- day of V 20 I by
I�;IDUC lQS I✓Tuf
(Name of peJson acknowledging )
of Notary Public -
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. EFS_7 (3ci S (Seal)
Revised 07/15/2014 = #EE87134e ; `mo o 0Ar�M;A
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e
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DATE
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COMPLETE
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ti
ALL APPLICABLE INFO MUST BE COMr1aiED FOR APPLICATION TO BE ACCEPTED 1 1
Date: 16 SCANNED Permit Number:
BY
s o �,; St. Lucie COU01
--- �-' _ Building Permit Application RECEIVED
Planning and Development Services JUN /g 2016
Building and Code Regulation Division
23001rrginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT IMPROVEMENT LOCATION: /09(o7 Sr)fi+F OIpDnj flc q R_
Address:
Legal Description:
S(I - BO � - 1003-
t
3
40
Property TaxlD#: r-fJ (I — gu`r— //GOJ—VOO/,4�- Lot No.
Site Plan Name: r^ Ieri Block No.
Project Name:
Setbacks Front . ' Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: III
-��M.(>� �i,-, t% -v
SI I :;?— P to(C�SF v(n cte,r[q�a,s+r
CONSTRUCTION INFORMATION:
0HVAC UGasTank ❑Gas Piping UShutters 11 Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 21 &b Sq. Ft. of First Floor:
Cost of Construction: $ 13 O, 0 Utilities: 0 Sewer.05eptic . Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name E
C
Name: /1 / 2Lr Ind
Address: UJ I:J A% ! _Z� ^i Q V
�L
Company: (]OUAJ i,Qy 41V5- .LLC
City: 6 (-,JSeA) 6RA 4 State:l'L
Zip Code: ti rLJ 7 Fax:
Phone No.
Address: JY&J 8 SLf of 1 = tS�/,
City: �A«L' L' !�d �✓ Lr� State:
Zip Code: 3 S�'7c/ Fax:
Phone No. ' 7 7,2 - 510'3-- 7 O�'� A
E-Mail:
II
bee cLi J % 3 SMoi j , /'GM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License: CCC 8
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
LIEN LAWINFORMATION:;
Name: A/ 1-F
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
— Name: ( (LLG
Address:
City:
Zip: W057 Phone: �7 72 — 1,7 tf— 6)f,7 U
Name: GE�OMPANY: v Not Applicable
Name: �/ /j
Address:
City: State:
Zip: Phone: 7
BONDINGfkO,M�ANY: NotApplicable
Name:
//j�//
Address:
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, 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
—Signature of Owner/ Lessee/Agent
STATE OF FLORIDA I STATE OFFL
COUNTY OF 5et', LGr6 ,\P COUNTY OF.
The forgoing instrument was acknowledged before me The f rgoing instrument
was acknowledged before me
l
this,7day of Ma . 20 J�by thi(day of M I.IM . 20 l U by
R mLr 4 f'-�- u5- 4 G2 6L aj, w7c.
(Name of person acknowledging) (Name of person acknowledging)
E
(Sure of Notary Public- State bnlorida )
Personally Known V"'OR Produced Identification
Type of Identification Produced
Commission No.n 4 pp d22 PERRY C.
E1--1 $ MY COMMISSI
Revised 07/15/2014
ka Q &JJJ
(Signature of Notary Public -State of Florida )
Known OR
Notary Public - State of Florida
My Comm. Expires Sep 25, 2019
Bonded through National Notary Assn.
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