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