HomeMy WebLinkAboutBuilding Permit Application 8831331
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ::. .. . /�/, Permit Number: /62 0�
MUMMY Building Permit Application APR 19 2096
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„I.M;PROVEMENT LOCATION '
Address: 5307 Inlet Way_Fort Pierce, FL 34949
Legal Description: OCEAN RESORTS COOPERATIVE SITE 151 (OR 2969-2863)
Property Tax ID#: 1410-502-0151-000-6 Lot No.
_ Site Plan Name: Block No.
Meese,'#8831331
Project Name: -
Setbacks (Front Back: Right Side: Left Side:'.
DETAILED DESCRIPTION QF WORK
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A '
Re-roof 11 squares of asphalt shingles.
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CONSTRUCTIQN INFORMATION
Additional work.to be erformed under this permit—check all r
I appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric ❑_Plumbing OSprinklers Generator Roof
Total Sq. Ft�of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 4,573.00 Utilities: _Sewer[]Septic Building Height:
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OUVNER/rhES"SEE �� . x_ :CONTRACTOR
Name WardImeese Name: Quinn Roberts
Address:53107:inlet WayCompany: The Home Depot At Home Services
City: FortPierce State:FL. Address: 674 S Military Trail-
Zip Code: 34949 Fax: City: Deerfield Beach State:FL
Phone No.?657669:1846 . Zip Code: 33442 Fax:
E-Mail: Phone No. (954)379- 1500
Fill in fee simple Title.Holder on next page(if different E-Mail:
' . from the Owner listed above) State or County License: CCC058327
If value of construction is$2500 or more,a RECORDED Notice of Commencement,is required:
SU.PPLEMENTAL�CONSTRUCTION LIEN LAW]
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable .
Name: Name:
Address: Address:
City: State: City: State:.
Zip.: Phone: Zip: Phone:
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FEE SIMPLE,TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: I City`.
Zip: Phone: Zip: Phone:
I certify that i o 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 jo ite
before the first ins tion. If you intend to obtain financing, con with nder or.an attorney befor
commencln or o recordi6g vour-No •ce of Commencemeot.
Signature of Owner/ ent/Lessee Signature of Contr ctor/License Holder
STATE OF FLORIDA STATE OF FLOR
COUNTY OF COUNTY OF
The forgo' instrurn nt wa acknowledged.before The forgoing instr eQwas acknowledged before me
me thisday of (��� 20 16 by this day of R J 20 -16.by
t 5• .
Quinn Roberts Quinn Roberts
(Name of pees a knowle i ) (Name of p on cknowledging) . m n Z-
-�H1, 1. 3 � ^{ ODog
Q �
(Signatu ry Public-State of Florida) Co. m-� (Sig t o otary Pu lic-St o Florida) r m
m rT- 8
Personally Known X OR Produced Identificag r- m Personally Known X OR Produced Identification 'O n
Type of Identification Produced c __ , Type of Identification Produced
Commission'No.i��a`7V�d (Seal) Commission No.& (Seal) .
Revised 07/15/2014
REVIEWSJ. FRONT LZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ;
COMPLETE
INITIALS
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