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Home My WebLink AboutBuilding Permit Application i ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIOWTO BE ACCEPTED J Date: 6/27/16 Permit Number: / V//�� 7^ u RECEIVED Building Permit Application JUL 14 2016 Planning and Development Services Building and Code Regulation Division 2300 Virginia venue,Fort Pierce FL 34982 Phone: (772462-1553 Fax: (772)462-1578 Commercial Yes Residential I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 12741 REFUGE LN JENSEN BEACH, FL 34957 Legal Description: EDEN'S REFUGE LOT 3 (OR 3867-861) Property Tax I D#: 4504-702-0004-000-2 Lot No.3 Site Plan Name: Block No. Project Name: RETAIL REAL ESTATE LLC- 12741 REFUGE Setbacks Front Back: Right Side: Left Side: DETAILED IDESCIR"I PTION. OF WORK: TEAR OFF SHINGLE ROOF AND INSTALL NEW METAL ROOF (PITCH 4/12) CONSTRUCTION INFORMATION: Additional Work toe e orme under this permit—check a appy: HVAC E] Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: 2,226 S Ft.of First Floor: Cost of Construction: $ 9850.00 Utilities:cn Sewer E]Septic Building Height: 2 STORIES OWNER/LESSEE: CONTRACTOR: Name RETAIL REAL ESTATE INVESTMENTS LLC Name: CHARLES RICHARDS Address:7521 Lexington Club BLVD Apt A Company: ALL AREA ROOFING City: DelraylBeach State:FIL Address: 12741 REFUGE LN Zip Code: 33446-3417 Fax: City: JENSEN BEACH State:FL Phone No.9154-560-4663 Zip Code: 34982 Fax: 772-464-6600 E-Mail: Phone No. 772-464-6800 Fill in fee si i ple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM from the Owner listed above) State or County License: CCC1326177 If value of co struction is$2500 or more,a RECORDED Notice of Commencement is required. i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable Name: i Name: Address: I Address: City: State: City: State: Zip: I Phone: Zip: Phone: I FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: I Address: City: City: Zip: I Phone: Zip: Phone: I 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 consideratioin 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 commeWiihoork or recordigg your Notice of Commenceme _ Sig6af6re of Owner/Lessee/Agent Sign re of Contractor/ icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF _--4- LntQ COUNTY OF STLUCIE The forgoing'nstrument was acknowledged before me The forgoing instrum nt was acknowledged before me this d7 day of 20 /6 by this ,Q'/day of 20 by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Pu Ic-State of Florida) gnature of Notary Pu 'c-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. G(9 WA,3y'��;. (Seal) Commission No.00005939 (Seal) FAITH MASON r P t MY COMMISSION#GG 003939 �' MrHON * MY COMMISSION �„ EXPIRES:June 20,2020 #GG 003939 Revised 07/15/2014 9 0,001,; 60ndedThruBudget Notary Sw*u EXPIRES:June 20,2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I I r i ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/27/16 Permit Number: I Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (7721)462-1553 Fax: (772)462-1578 Commercial Yes Residential I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 127141 REFUGE LN JENSEN BEACH, FL 34957 Legal Description: EDEN'S REFUGE LOT 3 (OR 3867-861) Property Tax i D#: 4504-702-0004-000-2 Lot No.3 Site Plan Name: Block No. Project Name: RETAIL REAL ESTATE LLC- 12741 REFUGE Setbacks FIi ont Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: L,2 rcm 0 V'C (C(_U tV(-Jr�-o"bo � 9 I CONSTRUCTION INFORMATION: Additional m ork to be neffo—r—m—ecT under t is❑ permit—check a appy: E]Gas Piping Gas Tank _ Doors pin g Shutters ❑Windows/ Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft olf Construction: SI Ft. of First Floor: Cost of Construction:$ Utilities: _Sewer Septic Building Height: 2 STORIES OWNER/LESSEE: CONTRACTOR: Name RETAIL REAL ESTATE INVESTMENTS LLC Name: CHARLES RICHARDS I Address:7521 Lexington Club BLVD Apt A Company: ALL AREA ROOFING City: Delray Beach State:FIL Address: 12741 REFUGE LN I Zip Code: 33446-3417 Fax: City: JENSEN BEACH State:FL I Phone No.954-560-4663 Zip Code: 34982 Fax: 772-464-6600 E-Mail: Phone No. 772-464-6800 Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM from the Owner listed above) State or County License: CCC1326177 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: I Address: City: I City: Zip: Phone: Zip: Phone: I 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 commeri4ng work or recording our Notice of Commencement. /� s _Sign ure of Owner/L ssee/Agent Sign re of Contract r/License Holder n STATE OF FLORIDA STATE OF FLORIDA COUNTY OF, , I, �,( COUNTY OF STLUCIE The for oing instru ent was acknowledged before me The f r oing instru ent was acknowledged before me this day of 20& by this day of t< 20 by (Name of person acknowledging) (Nam of person acknowledging) Q� (Signature of Notary' Public-State of Florida ) (Signature of Notary Public-State of Florida) Personally Known 'V OR Produced Identification Personally Known `/ - OR Produced Identification Type of Identii ication Produced Type of Identification Produced Commission No. 039 t�r�Eal) Commission No. OJ�3� [Seal) FAITH MASON mot ;Pu%��o FAITH MASON * MY COMMISSION#GG 003 39 * * MY COMMISSION#GO 00 9 June 20,2020 m, a EXPIRES:Juno 20,2020 Revised 071/15/2014 �4AR ltAP`� Bonded Thm Budget Notary Servbas ��bR 11.0 BMW TIVU Budglt Novy s# I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS i