HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� A1
Date: ) )' 5- 11I � Permit Number: � "1 ) • 0
SCANNED
BY REC
1 wie County
Building Permit ApplicFPermittin
Planning and Development Services Building and Lode. Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. Luce
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x a+ —
PERMIT TYPE: RE -ROOF
PROPOSED"IMPROUENIENT LOCAI IOtS# x ;, ; u ;_:; a = a '•
Address: 1012 Shorewinds Dr
Property Tax ID #: 1426-701-0176-000-4
Site Plan Name: Coral Cove Beach - Section One
Project Name: North Beach Complex LLC
Remove Existing Shingles on main roof (inspect wood roof deck) and install Owens Coming Duration Dimensional
Lot No. 11
Block No. 7
4/12 Pilch 4000 SF
Install one layer of polyglass peel and stick underlayent over wood roof deck with all new aluminum drip edge flashing
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: / u b
Cost of Construction: $ $
-q 19 D
Sq. Ft. of First Floor:
_ Windows/Doors
�t Roof 0 Z Pitch
Utilities: _Sewer _Septic Building Height:
OWNEf2JLESSEE" T
t0NTRA Ott
Name North Beach Complex LLC
Name: William Lasky JR.
Address: 2200 Silver Sands Ct.
Company: Atlantic Roofing II of Vero Beach Inc,
City: Vero Beach State: _
Zip Code: 32963 Fax:
Phone No.813-340-5774
Address:4310 45th St
City: Vero Beach State: FI
Zip Code: 32967 Fax: 772-2575740
Phone No 772-492-8493
E-Mail: jingravallol3@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail wljatr@aol.com
State or County License CCC1326188
IT value or construction is JLOuu or more, a RtCURDED Notice or Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAl� CONSTRUCTION LIEN LxAW,NFAORM/1TkUN# 'h , �(y , P
9-a '>` Y '3Ag^^. 'kY e tyt s'. ice' ki s.L_$kia-{•'y'�,.{-,1%t,^i .e +? to yr33i.y?h,..+..,vp''xi, n3 2
DESIGNER/ENGINEER: _
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
of Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN, FINANCING, CONSULT
WITH YOUR LENDER OR AN.ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENEEMENT_"
C
G
Si ature of Owner/ Lessee/Contr as ,gent for Owner
51nature of Contractor/Lr ense Hol r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF i y�� µD1t
COUNTY OF i
The f r oing instrument was acknowledged before me
day
The forgoing instryipertt was acknowledged before me
thin of G4::: , 20� by
this day of (XX . 20j_q by
Name of person making statement. ti I 1 3K-
Name of person making statement. Zfj aw'DWILY Ve
Personally Known OR Produced Identification
Personally Known L.1/ OR Produced Identifications
Type of Identification
Type of Identification
Produced
Produced
h
ig ture of Notary Public- State of Florida
f e of Notary Public- State
i
Comm
•ve+�"'•, D ORAHL.AUSTIN
rmission # GG 165615
JF
;� +'•' D ORAHL.AUSTIN
Commission No. a°`•' d5 I mission # GG 165615
a 2022
ssion No.'
p'o Expires January 6,
Expires January6, 2022
REVIEWS
FRONT
PLANS
VEGETATION
SEA TURTLE
ZONING
SUPERVISOR
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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