HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1=f�!J La L�'
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Building Permit Application JUN 15 2016
Planning and Development Services PERP-AI TTi P4G
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 0
PROPOSED IMPROVEMENTkOCATIION:
Address: 10725 S Ocean Dr. Unit 264 Jensen Beach, FL 34957
Legal Description: HOLIDAY OUT AT ST LUCIE BLK D LOT 25 AND EQUAL PRO-RATA INTEREST IN
COMMON ELEMENTS(OR 484-926'. 1402-1955)
Property Tax ID#: 4511-501-01424000-0 Lot No.
Site Plan Name: HOLIDAY OUT Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
["DETAILED.DESCRIPTION`OPWOR '
Remove existing shingle roof and install new 30 year architectural shingle roof, 0 DL
CoNSTRUCTtN tiOtMATIQN:
Additional workto a orme u5der this permit—check a appy:
0HVAC Gas Tank as Piping _Shutters Q Windows/Doors
Electric ❑Plumbing Sprinklers 0 Generator Roof
Total Sq.Ft of Construction: 812 S .Ft.of First Floor: 735
Cost of Construction:$ 4,275.00 Utilities. n Septic Building Height:
OWNEVLESSEE. CE)NTRAC'T'OR'
Name Linda J Cook Name: Ronald Latta
Address:57 Benton Ln Company: Treasure Coast.Concepts Inc.
City: Glastonbury State:CT Address: 3458 SW Pluto ST
Zip Code: 06033 Fax: City. Port Saint Lucie, State:FL
Phone No.860-338-1368 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 or County License: ccc1330362
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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,l do hereby agree that Iwill,in all respects,perform the work
inaccordance 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 work4r recordipg your Notice of Commencement.
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_Sig t e of Owner Lessee/ ent Signatu f C racto older
STAT OF Cof d,cut STATE OF FLORID ,
COU TY OF COUNTY OF
The forgoing instrument was acknowledged before me The for mg instru ent was acknowledged before me
tfiis day of ZUY►� , 20 Lby this � 4 ay of 20 Jk by
i Link � Coin � �.C��('�. TY lOLL -1.
(Name of erson acknowledging) (Name of person acknowledging)
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kOilofatLffe o Notary Public- a of oda) (Sign r of Notary. /
Public-State of FI da)
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification..Produced Type of Identification Produced
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Revised 07115/20144 "
REVIEWS" FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS