HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 1-8-16 ALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
JAN 0 8
2016
Building Permit Application
eui]ding and'Code Regulation Divi'si'on
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof _ Ssj�,
PROPOSED OMPROVEMENT LOCATION: NJ
Address: 10725 S Ocean d-,Unit 391,H!.d CuL Jensen!Mach,IFS.34957
Lega&Demi 7n: HOL&DAY OUT AT ST L JlcCIIE-SILK B BLK S LOT 119 AND EQUAL PRO-RATA INTEREST IN
COMMON ELEMENTS (OR 1921 -2220)
Property Tax ID#: 4511-502-0204-000-2 Lot No.19
Site Plan Name: HOLIDAY OUT AT ST LUCIE Block No. S
Project Name:
Setbacks Front Back: Right Side: h2ft Side:
DETAILED DESCRIPTION OF WORD:
Tear Off existing shingle roof and install new 310 year architectural shingle roof.
CONSTRUGOON >NFORMAMON:
®IH1W/AC GasTankIPiiprsm� Sifmu �Wli rs//Dmrs
11 Electric E]Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 804 Sq. Ft.of First Floor:
Cost of Con figs:$ 2.475-00 �1�ilLr�es: Sewerr ElSeptii._ &.!i!>dli�ng Hierght
OWNERJLES SEE: CONTRACTOR:
Name Dzam M l Name: Rarl4d J Lataa
Add :1072 n S Oa m�1%d l4Jtift X11 l Tn ue�s1t�&mom
City: Jensen Beach State:FL Address: 3458 SW Pluto St
Zip Code: 34957 Fax: City: Port Saint Lucie State:FL
Phone No. 1 Tip Lode: 3.4853 Fax:772-9r&4(a'4a
E-Mail: I Phone No. 772-777-8130
Fill in fee simple Title Holder on next page(if different E-Mail: tcconcepts@aol.com
from the Owner listed above) State or County License: CCC1330362
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
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Not ApokaWe j MORTGAGE OOMPANY" '� Not Applicable
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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 Notice of ConurmwenuaL
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