HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/7/16 Permit Number:
_.� -, RECEI�"D JAN 2 0 2016
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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: 1175 Nettles Blvd Jensen Beach, FL 34957
Legal Description: Nettles Island Inc,A Condo-Section II Parcel 1175 and Pro-Rata share in common elements(OR 2675-694:3055-351)
Property Tax ID#: 4502-501-1362-000-3 Lot No.
Site Plan Name: Boniello Residence Block No.
Project Name: Boniello Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove shingle roof and replace with 5-V metal
31 la
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 858 SFt. of First Floor: 858
Cost of Construction:$ 6000 Utilities:-Sewer Septic Building Height. 8 FT.
OWNER/LESSEE: CONTRACTOR:
Name Guido&Barbra Boniello Name: Jamie Cisco
Address: 1175 Nettles Blvd Company: Sunshine Roofing, LLC
City: Jensen Beach State:171 Address: PO Box 1083
Zip Code: 34957 Fax: City: Palm City State:FI
Phone No.772-229-4054 Zip Code: 34991 Fax:
E-Mail: 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: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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
commencigg work or recording our Notice of Commencement.
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Si rat re of Owner/Agent/Lessee Signatur ntractor License Holder
STATE OF FLOSTATE OF FLORI
MOL)O�COUNTY OF COUNTY OF GLYi (l
The for oing inst ument was acknowledge before me The for oing instrument was acknowledged before me
this F day of t, 20_W by this day of U 20Aloby
r
Jamie Cisco
(NaMf person acknowledging) (Name of person acknowledging)
()9,A .� At. INA k () 6 1 ])'-�- �\� L_
( ' nature f Nota bit Stat of Florida) (St ure of No ary Public-St f on )
Personally Known _ OR Produced Identification X PersAally Known X OR Produced Identification
Type of Identification Produced License pa.of Identification Prod c 1
FF11908 :` ""e''.� �1LYSS HAMPTON Jid
j FF119908 �o`" rte` ���• ( I�YSS HAMPTON
Commission No. (Seal mi ission No. Seri
�•`'.` otary Public State of �'. ,? Notary Public State of Florida
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Revised 07/15/2014
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