HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 27, 2016 Permit Number:
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 XX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Pk," "E JM'PROVEMENT LOCATION 3
Address: 1167 Nettles Blvd Jensen Beach, FL
Legal Description: Nettles Island Inc Condo, Sec II Parcel 1167 and Pro-Rata share in common elements
Property Tax ID#: 4502-501-1354-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QF WORK
s.„ - w
Reroof: remove current shingll roof ystem, inspect deck and renailto code, install underlayment,
i stall new shingle roof system;. 3�( C -P
CONSTRUCTION,INFORIVIATIbN
. ,
Additionalwork to be performed under this rpermit—ch ecR all ti2at appy:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing []SprinklersI Generator ❑✓ Roof
Total Sq. Ft of Construction: 686 S . Ft. of First Floor: 686
Cost of Construction: $ 3500 Utilities:]Sewer Septic Building Height. 8'
01NNE1�/LESSEE � fl
CO
NTRACTOR: t
NameAlida Skinner Name. Juan C Martinez
Address:BV Beeklaan 57 1241 AD Company: Total Roofing Systems Specialist, Inc
City: Kortenhoef State:_ Address: 3201 SE Dominica Ter
Zip Code: Fax: City: Stuart State:FL
Phone No.772-486-7266 Zip Code: 34997 Fax: 772-872-8033
E-Mail:b.skinner@online.nl Phone No. 772-872-8030
Fill in fee simple Title Holder on next page(if different E-Mail: jenni@totalroofingsystems.net
from the Owner listed above) State or County License: CCC1330788
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUP;PLEM.ENTAC CONSTRUCT,,N LIEN LAW INFORMATION
DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: xx Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable BONDING COMPANY: xx 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 thepermit 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
commencing work or recording our Notice of Commencement.
L s
_Signature of Owner/Le Agent Sig nat of Contractor se er
STATE OF FLORIDA STATE OF FL
COUNTY OFMar,in COUNTY OFMartin
The forgoing instrxkment was acknowledged before me The forgoing instru ent was acknowledged before me
thit9l day of 201aby thk&'74 day of LJLQrL120 1(_g by
Alicia Skinner 1 Juan C Martinez
(Name of person acknowledging) (Name of person acknowledging)
Signature f No aryPublic-State of Florida) (Signatu e df Not#Public-State of Florida)
Personally Known OR Produced Identification xx Personally Known xx OR Produced Identification
Type of Identification Produced Driver's License Type of Identification Produced
Commissio Ntp:rp• . @SNA NE .® Commission No: NNA N B
' ;
�•c MY COMMISSION#FF221909 :' MY COMMISSION#FF221909
.,,e.��,.• EXPIRES April 19.2019 ray ,.•` EXPIRES April 19.2019
Revised FarldaNaaySonnce.gac .:4U)57+;ao 53 FwrlaaNaJ1 YSen ke.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS