HomeMy WebLinkAboutBuilding Permit Application LAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: TU'L4. Permit Number: isoi--& l
Building Permit Application
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: 10701 South Ocean Drive Lot 863 Jensen Beach FL 34957
Legal Description: Venture Out at Indian River Inc Lot 863(OR 3418-1968)
Property Tax ID#: 4511-510-0064-000-3 Lot No.863
Site Plan Name: Block No.
Project Name: Steven Lasasso Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF=WORK:`
Tear off existing shingle roof. Re-nail sheathing to code. Dry-in w/ASTM 301b felt, nailed &tin-tagged to
sheathing per code. Install new eave drip. Install new lead flashing at plumbing vent. Install new
10"gooseneck w/flapper. Install 4" gooseneck vent. Install new Skylight iami Dade approved. Install
Dimensional Shingles.
CONSTRUCTION fN.FORMATION:
Adclitional work toe e orme under this permit—check a appy:
HVAC EI Gas Tank Gas Piping _Shutters ❑Windows/Doors
❑Electric 0 Plumbing Sprinklers ❑Generator W1 Roof
Total Sq. Ft of Construction: 450 SF S Ft.of First Floor:
Cost of Construction:$ 2,435.00 Utilities:Sewer E]Septic Building Height:
OWNER/LESSEE:. CONTRACTOR':
Name Steven Lasasso Name: Jamie Cisco
Address:10701 S Ocean Drive Lot 863 Company: Sunshine Roofing, LLC
City: Jensen Beach State:FL Address: P O Box 1083
Zip Code: 34957 Fax: City: Palm City State:FL
Phone No.772-249-6188 Zip Code: 34991 Fax:
E-Mail:pirlas@bellsouth.net Phone No. 772-260-8195
Fill in fee simple Title Holder on next page(if different E-Mail: sunshineroofingllc@gmail.com
from the Owner listed above) State or County License: CCC1327796
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: XX Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: XX 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 thepermit 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/AgentSignat Contractor/License Holder
STATE OF FLORIDA STA OF FLORIDA
COUNTY OF ST ILUX r' COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�I7 day of )IA t-V 20 1by this off-9 day of G 20 75 by
5fe' e- �a��S.Sy �a617[f. �rScv
(Name of person acknowledging) (Name of person acknowledging)
/7L %[g'A) �e �ic. (r `1 ire %z��✓
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. al i(b5 S (Seal)
ro'NRY PAR. VICTORIA OIMINE
op''"r P. � VICTORIA OHNE MCKUHS
* * NY COMMISSION
Revised 07/15/2014 EXPIRES:July 21,2016 �, EXPIRES:July 21,!01`
d,��OF T Ion�d TM Bud9e1� 'rf ff Fl�'� E�nled TIYu Pt�}y►tel
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS