HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t 7
Date:_4f14Tf6_ �' �� �`o Permit Number:
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Building Permit Application APP 19 2016
Planning and Development Services PERM ITTI`UG
Building and Code Regulation Division St. Lucie County, FL
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: 250 Shinn Road Ft Pierce, FL 34945
Legal Description: 07 35 39 From Int of C/L of Oracnge Av and W Li of SE 1/4 Run E ALG C/L 108 Ft,TH S 493 Ft to POB,TH E 208.71
Ft,TH S 208.71 Ft,TH W 208.71 Ft,TH N 208.71 FTTO POB(1.00 AC) (OR 3620-1279)
Property Tax ID#: 2307-422-0001-000-1 Lot No.
Site Plan Name: Picklesimer Residence Block No.
Project Name: Picklesimer Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove shingle roof and replace with new shingles
LA �'�N
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank E]Gas Piping nGenerator
Shutters Windows/Doors
Electric Plumbing Sprinklers Roof
Total Sq. Ft of Construction: 2790 S Ft. of First Floor: 2790
Cost of Construction:$ 16000 Utilities.
cnSewer Septic Building Height. 8 Ft
OWNER/LESSEE: CONTRACTOR:
Name Gary Picklesimer Name: Jamie Cisco
Address:250 Shinn Road Company: Sunshine Roofing, LLC
City- Ft Pierce State:FlAddress: PO Box 1083
Zip Code: 34945 Fax: City: Palm City State:FI
Phone No.863-581-9075 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: CM 327796
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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l)PPL'EME --ALCM ONSTRUCTION LIEN LAIN INFORMATION
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DESIGNER/ENGINEER: Not Applicable MORTGAGE'COMPANY NotApplleable
Name _:.. Name
Address: Address .
City. State qty;'. State:
Zip Phone Zip Phone
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FEE SIMPLE TITLE HOLDER ; ,_`Not`Applicable BONDING:CW
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:Address: 9 Address.
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a. . i cert that no.work or installation has commenced priorao the issuance of a permit
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.St Lucie Countyy 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.thM.may,,restrictor prohibit such:
.l structure:Please;consult with your Home Owners Association and.review-your deed for any.restnctions which may apply.:,
In'con'sideration of lhegrantng of this requested permit,1 do erebyzgreethat I will,in all respects,perform the work
in accordance with the approved'plans;ahe Florida Bwlding Codes and St:Luce County Amendments
The folloWmg building permit applications are exempt from undergoinga full concurrency review?'room:additions;;:
accessory structures,swimming pools,fences,walls signs;screen-rooms;and accessory uses to another.non residential use
I WARNING. O OWNER Your:N Ure to Record a LNotjce of Commencement may result in your:paying t.wice for
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improvements o.your•property A_Notice of Commencement,must be recorded and posted on the jobsite
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before.the firsi inspection..lf you intens o obtain"flnancing, consult';with lender.-or an<attorney befiore`:
-i `commenting work.:o Cofdln Our.Notice.of.Commencement
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ign ure, Owner/.Agent/Lessee Signature.of tractor/License'Holder
ATE OF FLORIDAp STATE FLORIDA_ ,
COUNTY OF f o►h COUNTv OF JGl1Y1 a 1C'kC
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The for�qqmg mstrument'was acknowledged before me The for'omg instrument was acknowledged before me
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this 'cday ofA�'i: 20 by. this day of M� 20 6y
' Jam.e Cisco
ire N�".Lur rz...r ;
(Name of:person acknowledging) (Name)of person acknowledging}
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.Sign tu're of Notary is State:o rida} ature'of:Notary:Pu Iic State of:Florida).j
,j Personal1 Known: ►! O Pr d e d Personally Known X OR'Qroduced Identification l/
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Type of Identificatio Y Type ofldentifcation Produced
a +�'�` ¢°s Naluy Public St9te of-M-. . Q ;����,,, IANNA`ZERGA
-Commission No. My CoifrSB�Plres Nov 6;2016 `Commission No _t I SSea��
.c+ N�Cary Public :State of Florlda
LG Qommist<(on 1 EE 218859 , Commission FF 915764
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Revised 07/'1'5/2 14° Bonded through National Notary Assn
REVIEWS " FRONT ZONING, SUPERVISOR PLANS VEGETATION— SEA?TURTLE MANGROVE
COUNTER 'REVIEW- : REVIEW . REVIEW REVIEW REVIEW REVIEW >`
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