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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.:i ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12-28-18 SCABNNED Permit Number:____ t. St. Lucie County ftftFo - DEC 3.1 • . .. Building Permit Applicatio%rmitt,, 1010 St. e Planning and Development Services Luci part Building and Code Regulation Division a County ent 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx Address: 474 NETTLES BLVD. JENSEN BEACH, FL 34957 Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 474 ANDPRO-RATA SHARE IN COMMON ELEMENTS )OR 295-1848:824-1835:2804-2884:3059-1887) Property Tax ID #: 4502-501-0660-000-5 Site Plan Name: Project Name: RICHOR Properties Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Remove Shingles and replace with Galvalume Metal Mill Finish 26 ga • Remove and dispose of current shingle roof system down to existing sheathing • Inspect existing plywood sheathing, re -nail as needed to meet code. Lot No. Lily Block No. CONSTRUCTION INFORMATION: dcT Itlona wor to e e orme under tispermit—checka apply: 1]HVAC fi Gas Tank Gas Piping _ Shutters ❑ Windows/Doors Electric O Plumbing []Sprinklers Generator W Roof f' Roof pitch T tp_a q:'FtofConstruction: .ems-,.:�= u 0.00 Cos of Construdlon: $ S Ft. of First Floor: _ Utilities: Sewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name RICOR PROPERTIES LLC Name: BRUCE W WATLEY Address:3969 LAKEWOOD DRIVE Company: JUPITER ISLAND ROOFING INC City: WATERFORD State: MI Zip Code: 48329 Fax: 772-223-0684 Phone No. 772-223-0604 Address: City: HOBE SOUND State: FL Zip Code: 33455 Fax: 772-223-0684 Phone No. 772-223-0604 E-Mail: jupiterislandroofing@wcifl.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: JUPITERISLANDROOFING@WCIFL.COM State or County License: CCC1327631 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. r SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: x Not Applicable MORTGAGE COMPANY: Name: x Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: x Not Applicable BONDING COMPANY: Name: x 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 commencine work or recordine vour Notice of Commencement. I r &✓/iCA 00 Zw Signature of Owner/ Lessee/Contract as Agent for caner Signature of Contractor/Lice se Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Mra�4� COUNTY OF 1`nr�-I-ti. The forging instrument was acknowledged before me The forgping instNoent was acknowledged before me 3l this'LL day of�1 �ce�..,,�✓ , 20 1 Vby this day of 20 l by hJr�ltA �.9 • l.�+a•� �Mtx_ W . W4`j•n-� Name of perso aking s��ea•.t natement Name of pers making statement Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced f—� (Signature ol N Public- State of Florida I (Signature of 'ta Public- State of Floridan ���qqq ,,, q Commissi ,.�}d;, ' ' C�EIN My COMMISSION p FF917154 p�+' j�ATTERhiS Commiss pq • oN M FF9l _yg e. EXPIRES September 23, 2019 .M�•• EXPIRES September 23. 2019 nor 9ltrit••t„ea FlpgaNON .rvms.wm eqr ;9 REVIEWS FRONT ZONING SUPERVISOR P VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW IE REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED at life Rev.8/2/17