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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: f O'OCN' f (i Permit Number: o a7 .
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Building Permit Application OCT 2 0 2016
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 xxx
PERMIT APPLICATION FOR: Roof
I?ROPOSED IMPROVEMENT LOCATION _ " _ - '
Address: 10701 S OCEAN DR.#639,JENSEN BEACH, FL 34957
Legal Description: VENTURE OUT-SECTION C LOT 40
Property Tax ID#: 4511-805-0040-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION IMORK . , x
remove existing shingle/install new 5V metal roof system. 5/12 pitch. $4,925.00
CPMN TRUCTIOWINFOR. ATI 0N >a
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
E]Electric 11 Plumbing Sprinklers Generator W1 Roof Roof pitch
Total Sq. Ft of Construction: 2100 SFt.of First Floor:
Cost of Construction:$ 4,925 Utilities:In Sewer E]Septic Building Height:
OWNER¢/LESSEEa NTRAC`fOR
CO
... ... . . �,o �
Name DAVID MARANTE Name: JOSEPH KOLINOSKI
Address:10701 S OCEAN DR#639 Company: ONSHORE ROOFING SPECIALISTS, INC
City: JENSEN BEACH State:_ Address: 4401 SE COMMERCED AVE
Zip Code: 34957 Fax: City: STUART State:FL
Phone No.407-721-7021 Zip Code: 34996 Fax: 772-283-1557
E-Mail: Phone No. 772-283-1505
Fill in fee simple Title Holder on next page(if different E-Mail: INFO@OSNHOREROOFING.COM
from the Owner listed above) State or County License: CCC1328994
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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A�UPPCE�1lf l�'TAL CONSTRUCTION I�IE'N LA�IV{INFORMATION ° ` ml
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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: Address:
City: City:
Zip: Phone: Zip: Phone:
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
im ents to your property.A Notice of Commencement nn-rst-be recordedand posted on the jobsite
b ore th first inspection. If you intend to obtain financing,cons 4 with lend or an attorney before
ommen ng work or rec rdi our Notice of Comme cement
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORI/ggdi ^ STATE OF FLORID
COUNTY OF / ` � COUNTY OF �I
The f oin instr w o ed a efore me The o °ing inst e was acknowledge�efore me
this ,day of 20/�Y thiC/ day of 20 by
Jor— 11176%4_"
(Nam f erson acknowledg' g) (Name of p son acknowledging
ill
(Signature of Notary lic-State of Florida) (Signature of Notary P lic-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification��?r<adated :._. Type of Identification P duced
;�, �JiR SS SCHWAB
Commission No. �_• °°= Notame-State of Florida Comm so� Y qe SCHWAB (Sea
Comrnisslon#FF 205427 ' !=° ,"= Notary Public-State of Florida
My e0111111.E
— My Comm.Expires Mar 3.2019 ,
Revised 07/15/20'14 c1 i
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