HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05-26-2015 Permit Number: � �/�+ 0 J-0
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RECEIVE®
Building Permit Application JUN -5 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 860 DOUBLOON LN, FORT PIERCE, FL 34949
Legal Description: OCEAN RESORTS COOPERATIVE SITE 240 (OR 1052-2073 : 1850-1148 : 1884-1084; 2776-1678)
Property Tax ID#: 1410-502-0240-000-7 Lot No.
Site Plan Name: Block No.
Project Name: NEUHOFF
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF DOWN TO PLYWOOD, RENAIL DECK TO CODE, INSTALL NEW
UNDERLAYMENT, INSTALL—NEW SHINGLES
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CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC Ei Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers E Generator W1 Roof
Total Sq. Ft of Construction: 1800 S . Ft. of First Floor: 1589
Cost of Construction: $ 6,700.00 Utilities:n Sewer E]Septic Building Height: 10'
OWNER/LESSEE: CONTRACTOR:
Name CHARLES NEUHOFF Name: CHARLES RICHARDS
Address:860 DOUBLOON LN Company: ALL AREA ROOFING
City: FORT PIERCE State:FL Address: 3921 S US HIGHWAY 1
Zip Code: 34949 Fax: City: FORT PIERCE State: FL
Phone No.772-464-7456 Zip Code: 34982 Fax: 772-464-6600
E-Mail:CNEUHOFF99@AOL.COM Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC 1326177
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: 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
commencing work or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Ho der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The f;,rgoing instr1iment was acknowledged before me Thef�olrgoing instrument was acknowledged before me
thi day of 2d T by this�iR day of ______120LS by
CHARLES RICHARDS CHARLES RICHARDS
(Name o erson acknowledging) (Nam o son acknowledging)
Ll�av_t�
a4it'�
(Sig tur of Notary Pu ' - to I ida) (Sitj
of Notar Publ -Stat of F orid
Pers all nown x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. "+Pu,�.,, S&Jlh DESTAFNEY ommission No.
MY COMMISSION#FF12542 otY'°SAL'• SONIA DESTAF
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