HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 �� Permit Number_
• RECEI!'rD NIAY 10 2016
-- — ----- - 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 Dr Unit 228 Jensen Beach FL 34957
Legal Description: HOLIDAY OUT AT ST LUCIE BLK E LOT 8 AND EQUAL PRO-RATA INTEREST IN COMMON ELEMENTS
(OR 3295-1193
Property Tax ID#: 4511501-0161-000-5
Lot No. 8
Site Plan Name: Block No. E
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF AND INSTALL A 5V METAL ROOF
CONSTRUCTION INFORMATION:
A itiona wor .to aneormeuner this permit—check all _ py:
® Windows/Doors Gas Tank Gas Piping
Electric 0 Plumbing r Sprinklers Generator ®Roof
Total Sq.Ft of Construction: 928 Sq.Ft.of First Floor:
Cost of Construction:$ $5,775.00 Utilities:0Sewer®Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name James and Vicki Graff Name: Ronald Latta
Address:5368 Goedert Dr. Company:Treasure Coast Concepts Inc
City. Tecomseh State: MI Address:3458 SW Pluto St
Zip Code:49286 Fax: City: Port Saint.LUcie, State:FL
Phone No.517-6735542 Zip Code: 34953 Fax-772-905-4910
E-Mail: Phone No.772-m-8130
Fill in fee simple Title Bolder on next page f if different E-Mail:tcconcepts@aol.com
from the Owner listed above) State or County license: CCC1330362
If value of construction is$2500 or.more,a RECORDED Notice of Commencement is required.
SUNF'LtIVltIt1IAt_C:(Fi�9S.!'KtJCTIUN LItN l=A11V"INFU"ltMAl`IUf!!
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 BOLDER: 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,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Sig re r
aSTATE OF FLORIDA STATE OF
COUNTY OF —.J A --(AQ COUNTY OF � .. 1.`1 C•i�
The forgoing instruent was acknowledged before me The forgoing instrument was acknowledged before me
this day of Q,1' , 20 jby this�d day of VN S3 20 k�j_by
�1a')-
(Name
(Name of person acknowledging (Name of person acknowledging)
(Signature of Notary Public- ate o Florida) (Signature of Notary PubA-State of Florida)
Personally known OR ProLiuc d dentification DeL9( Personally Known OR Produ1ced Identification
Type of Identification Produced v Type of Identification Produced L L _
Commission No. G/Z$ I(, a"z ANDREA LAMmmissiol o. It'b ( )NNA GIVENS
MYCOMMISS10 AEE212779 �« POs; Notary Puhlic'State of FIoZp16
EXPIRES;Ju e28,20181 �¢� 4�'= m Expires Dec 16,
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Revised 07/15/2014 National Notary Assn.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW, REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS