HomeMy WebLinkAboutBuilding Permit Application !I ALL APPLICAB E INFO qAUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
!I Date: Permit Number:
I!
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: 10725 S OCEAN DRIVE UNIT 13 JENSEN BEACH FL 34957
Legal Description: HOLIDAY OUT AT ST LUCIE.BLK H LOT 13 AND EQUAL PRO-RATA INTEREST IN
COMMON ELEMENTS (OR 201-311:2955-1671)
Property Tax ID#: 4511-501-0258-000-2 Lot No.13
Site Plan Name: Block No. H
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL NEW 5V METAL MILL FINISH ROOF
3/L -,-)- -P OSS F
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CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit—check a appy:
11HVAC Gas Tank ®Gas Piping _Shutters Windows/Doors
11 Electric ❑Plumbing Sprinklers 0 Generator FV]Roof
Total Sq. Ft of Construction: 689 S . Ft.of First Floor:
Cost of Construction:$ 3,375.00 Utilities'nSewer[]Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name BERYL WINKELMAN (TR) Name: RONALD LATTA
Address:5084 CASS ELIZABETH RD Company: TREASURE COAST CONCEPTS INC.
City: WATERFORD State: MI Address: 3458 SW PLUTO ST
Zip Code: 48327 Fax: City: PORT ST LUCIE State:FL
Phone No.248-568-8991 Zip Code: 34953 Fax: 772-905-4910
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 n is nse: CCC1330362
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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It SUPPLEMENTAL CONSTRUCTION LIEN LAIN 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,consul lender or an attorney beforecommencin work or recordin our Notice of Commencement !ith
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ignature of O er/Lessee/Agent Si nat a ontractor License Holder
STATE OF FLORIDA STATE OF FLORIDA '
COUNTY OF Mce k ri COUNTY OF
The forgoing instrument Was acknowledged before me The forgoing instrument was acknowledged before me
this 2.b day of-_(tel Ld--- 20 lwby this day of 020 by
(Name of person acknowledging)
(Dame of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of No Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Pro Id tt"fjcat'on
Type of Identification Produced FL D L Type of Identification Produced �--
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