HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater V hCP Permit Number: Vs 1 ," �Q`5
RECEIVED
NO" 01 2916
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: 380 Nettles,Jensen Beach, FL 34957
Legal Description: Nettles Island Inc.,A Condo-Section II Parcel 380N and Pro-Rata Share in Common Elements(OR2829-2536)
Property Tax ID#: 4502-501-0566-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove Existing Shingle Roof and Replace any Existing Damaged Plywood. Install 5-V Crimp
Metal Roof 14/lam,
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers I Generator W1 Roof
Total Sq. Ft of Construction: 1047 Sq. Ft. of First Floor: /01/7
Cost of Construction:$ 7500 Utilities:[]Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Guy&Peggy Desautels Name: Jamie Cisco
Address:11,120 NW 26 Dr. Company: Sunshine Roofing, LLC
City: Coral Springs State:_ Address: PO Box 1083
Zip Code: 33065 Fax: City: Palm City State:FL
Phone No.954-294-1215 Zip Code: 34991 Fax:
E-Mail:guy.desautels@citdx.com Phone No. 772-260-8195
Fill in fee simple Title Holder on next page(if different E-Mail: sunshineroofingllc@gmail.com
from the Owner listed above) State or County License: CCC1327796
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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: 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.
Q_<ZJ'
r
gnature o Owner/Agent/Lessee Sig ' re of Contras or/License Holder
STATE OF FLO Iftv�,
STATE OF FLORIDA
COUNTY OF P COUNTY OF Sf L Vn t
The forgoing instrum nt was acknowledged before me The forgoing instrutvyas acknowledged before me
this O& day of ���r 201 by this a& day of �LtC�bei 20_��by
Guy Desautels Jamie Cisco
(Name of person acknowledging) (Name of person acknowledging)
(Signa ure of No ary Publi -State of Plorida) (Signat re of Notaity Public-S ate of Floida)
Personally Known OR Produced Identification X Personally Known X OR Produced Identification
Type of Identification Produc L' s Type of Identification Produced
Commission No. r1=d3b1 11 4 ° �p u 8110110 of Pl9►I�® mmission No. f O No4$,e�lJk Stet.of Fbrlda
MY Comnol p��61f6 Marilyn Kluegel
cy Expyes 06/26�201f My COtnmlaslon FF 230
19
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS