HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
nate: Permit Number:
3 - RECEIV' D JAN 8 2016
Building Permit Application
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SuAding 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 _ S�,\ h �
PROPOSED IMPROVEMENT LOCAL AON:
Address: 10725 S Ocean Dr.Unit 36,Holiday OuL Jensen Beach,FL 34957
Legal Desa:Tipdon: HOLIDAY OUT ST LUCIE BLK A LOT 35 AND EQUAL PRO-RATA 0NTEREST IN COMMON
ELEMENTS (OR 1263-72 2435-2603)
Property Tax ID#: 4511-501-0038-000-4 Lot No.36
Site Plan Name: Block No. A
Project Name:
Setbacks Front Backs: Bight sive: Left Sive:
DETAILED DESCRIPTION OF WORK:
Tear off existing shingle roof and install neer 30 year architectural shingle roof
CONSTRUCUON 9NFDRMATION:
AddMonaNworktobeneTtonmed under this permeant— e a Mappk-
111HIVAC
t T Wo nrnz _SlnWIMM 11 WMdowsiDoors
1-1 Electric ❑Plumbing Sprinklers Generator a Roof
Total Sq. Ft of Construction: 790 Sq. Ft. of First Floor:
Cost of Cons�ctilon:$�� -� Utnliftiies:HSewer Sepfic BeeNding Heigbt:
OWNER/LESSEE: CON,'TRACTOR:
NameTiornothy E Dennison Mame: Ronald J Lafta
Address:6476 E 261§4 Ind. Company:Tr tom:Coast Cis Inr-
City: Cadillac State:Ml Address: 3458 SW Pluto St
Zip Code: 49601 Fax: City: Port Saint Lucie State:FL
Phone No. Zip Code: 24953 Fax:732�448�0
E-Mail: 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.
i D Not App&able MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: ±,
City: State: Gly: State:
I ZIip: Phone: Zip: Phone:
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WARNING TO OWNEIL Yaw fla re to Reawd a Relke of Commerwearaent may resdit En ymm payft twke 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 ff`anancinp,consult with lender or an attorney before
commenting work or recording our Notice of Commencement.
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r�•''• ANDR LATTA a Y DEANNAstate of Florida
Commission ®_L C 21 Z 7 7 9 :;s �mrn is �ttn IRh®_ �' S w ' Notary t t �l.
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EXPIRES:June 28,2 16 -My Comm.Expires Dec 16,
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