HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ 0'1 Permit Number:its
:; Y r ; x r
' �y RECEIVED
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
PFtOFC}SED IIVIPR{OVEMENT LQCATION E } k
.... ,,, s,.0 .«
Address: 10701 S OCEAN DR.#805,JENSEN BEACH, FL 34957
Legal Description: VENTURE OUT AT INDIAN RIVER INC LOT 805
Property Tax ID#: —4511-510-0006-000-9 Lot No.805
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
gra a
DETAILED DE, IPTIOWOF WORK`
remove existing shingle/install new 1" Standing Seam metal roof system. 5/12 pitch. $8,200
COWRUCI"ION INFORIt11ATiQN
Additional work-to (—e i e orme un er this permit–check a apply:
HVAC I=.1 Gas Tank oGas Piping _Shutters �Windows/Doors
Electric 0 Plumbing Sprinklers [i Generator P(] Roof Roof pitch
Total Sq. Ft of Construction: 2300 So. Ft. of First Floor:
Cost of Construction:$ 8300 Utilities Sewer Septic Building Height:
OWNER/LESEE CONTRACTOR:
. -
Name L Name: JOSEPH KOLINOSKIryN
Address:10701 S OCEAN DR# ('"3�S Company: ONSHORE ROOFING SPECIALISTS, INC
City: JENSEN BEACH State:_ Address: 4401 SE COMMERCED AVE
Zip Code: 34957 Fax: City: STUART State.FL
Phone No. (a
_ 'n d 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.
$URPkE ' EN'1"A���CON�'FTftIf�TION�I_�E� LA1N��NFORMATIQN ~•� �' `�"�-��-�-�`��_. �-��:���,�`;�f'
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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:
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 . menc ent may result in your paying twice for
i overn nts to your property.A Notice of CommF
ment must be recorded an posted on the jobsite
efore the first inspectiory If you intend to obtain ficing,cons t with lender r n attorney before
commenci work or re ordin our Notice of Comncement
s
ignature of Owner/Less a/Contractor as Agent for Owner ,Sign ure of Contractor icens Holder
STATE OF FLO)T/OO //A STATE OF FLORIDA
COUNTY OF // __// ^ COUNTY OF ����
The f �g ins t as cknowledgelAfore me The f in before instr ent w s acknowledge before me
this day of 20 =b this U day of 20 by
1 :� m� W� m
of p rson acknowled ing) ' d (Na of rso acknowle ging)
c 4 cin v o w
W .W .y
(Signature of Nota Public-State of Florida) E o (Signature of Not ry Public-State of Florida)
0
Personally Known OR Produced Identif atior ,� Personally Known OR Produced Identification
Type of Identification Produced--_ Type of Identification Pro uced
Commission No. -,' SHREISS SCH ? � "yd=}(� g Co "1 '410 SHREISS SCHWAB (S al)
u Ic-Stat r a:e• ?.�;:
Notary :_ f�'.
Commission#FF 205427:: . _ Notary Public-State of Florida
Commission#FF 205427
Comm. P cR��' My Comm.Expires Mar 3,2019
Revised 07/15/2014 ���� ° �
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS