HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/19/1"6 Perm it.Number:
RECEI'.'-C Noij 10 2016
Building" Permit:.Ap' icata®in_
Planning and Develop►nent Services
Building and Code Regulation Division
23oo Uirginia"Avenue,Fort Pierce FL 34952
Phone:(772)"462-1553 Fax:'(77Z)462=1578 COmmel'Clal Residential X
PERMITAPP'LICATION FOR Roof—
E?ROPS>=D I'NIyPROUENIENT LQCATION fi s y1,7
w
Address:.9-920 Gatsby Lane'Ft.F fierce,;FL 34945
1 Leal Descri tion:'3.35 39NW,1 4-Less,",vcr iManor-units 1 and?andle"ssw61
" 5.5Ft LYS"
G oFAvon Manor-Unit i and Less Canal'
g p ,
i ,.
and'Rd RSNU and Less.I-95;as in OR 237-1372-(99.02 AC)(OR 630-.131).
ProperEy7ax ID'#:2303-211-0025-000-5 Lot No.
t Site Plan°Name: 131o.ck.No. .
i `Ion Residence
Project Name:. -
Setbacks Front Back:. Right-Side: Left Side: .
DETAILED DX$CRIPTION OF,W,ORK ' � z
r `
'Remove shingle roof and replace.with new shingles .
4/12;'
CONSTRUrION INFORIt/lATION }
Additional work to, e nnertormed under t t
his permit c -ec .a_ "" - apply.,
❑'HVAC Gas Tank []Gas Piping _Shutters LL Windows%Doors
Electric 0 Plumbing Sprinklers Generator Y Roof
Total Sn Ft•cif Construction: 1200 _ _ Sq. Ft.of First Floor. 1200
Cost of Constrgttion $.6200 Utilities: L_I Sewer Septic 'Building Height: 8 Ft
f DOWNER/LESSEE ` CONTRACTOR ' T s
onna Ion
i
:dame.D °Name Jamie.Ci'sco
Mdress•:9920_Gatsby Lane Company.; Sunshine,Roofng,.LLC
;City. "Ft Pierce StateAL Address: P:O._Bou 108-3.
Zip Co.de:349:45 Fax: City: Palm.C.ity State:FL
Phone:No.906"-679-915.0 Zip Code: 34991; Fax
`
`&'Mal ; " Phone No: 772=260-
'8495',
i `Fill in-fee_somple Title.Holder:on he page"(,if"different, E-Mail; sunshirteroofin.gllc@gmail.com
°frorn the.Owner listed above). State or County License ,CGG1327796
If value, o
• ; of construction•is$2500 or more,a.RECO RDED.Notice of Commencement:is required:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INF„ORMATION
DESIGNER-ENGINEER: —blot Applicable MORTGAGE.COMPANY: _;Not Applicable,
-Narne:. Name:
Address: Address:
:City;.. state: Clty.. State. .
Phone- Zlp Phone.:
.
FEE,SIMPLE,'TITLt HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Narr►e:,:.
Address: Address:
' 'City- City:
Zip:; Phone: Zip: Phones
t
I certify that no work or installation has commenced prior to the:issuance of a p"errrit
St Lucie Goun makes no representation that.is granting a perrr,ii will authorize the.permit•holder to:build the subject structure
which is in con ict with''any applitable.Home Owner§•Associ.ation rules,,bylaws oe'ah' covenants that may restrict or prohibit such
structure Please`consult`with yourHo;ne'owners.Assoc�iation,and reviewyourdeed for any"restrictions inihichmay apply:-
In consideration.of the-granting-6.f this requested permit,I do hereby`agree that l:will in-all respects,perform the work
j in accordance`with the approved plans,.the Florida,Building.Cod es and St.Lucie;.County,Amen„dments;
The following building permit applications are`exempt`fromundcrgo ng.a full concurrency review:room additions;
accessory
g, s'.f rices,walls,,signs,,screen rooms a.nd accesso
ry uses to"another;non residential us_e.
WARNING,TO OWNER:Your.failure to.Record a Notice-of Commencement•may result in your paying lice. for
improvements to'your property.A Notice of Cornmericenlent most be recorded and posted driAhe jobsite
before th first inspection. If you intend to obtain financing,;consult wit} lender or an attorney before
commen n' :.work-oi record our Notice of Commencement.
Signature of Owner/Agent/Lessee Si natufe o Contractor/License_Holder
Si
STATE"®F FLOI)gI A (STATE OF FLORID�..
COUNTY OF lS COUNTY OF v ./�.
The forgoingeinstrumentwas acknowledged before me The for omg instrument was-acknowledged before me
this InbE�;�►i)��'�' 20 1* by ib this day`of.67b(ii'��n/ •r' ;"20 .by
1 Jamie Cisco
(Name of person ackrnowl""edging') (Name of person acknowledging)
i
l
Si nat a of'No Public State Florida (Signature of N tary P.ub)lt-State, f"Florida.
3
Personally Known: _ OR Produced Identification'X Personally Known X OR ProducedIdentification.
Type:of"Identific�C�EAe4P Type of Identification Produced
01' �ry Public Stas ai`Iprida
Comri ission No;' 4: Madlyn KluegFSea1i ' Commission N FF ubNcSlet -
I
rpm
y Oiss:a.FF 230179 e e KkIBpF3i
i ora Expire a 06/2612019
Regi ed 07/1512Q14 -
i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TU.RTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE;
COMPLETE
INITIALS
i
i