HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 31 2016 Permit Number: 1�O d36�
��, 4 < ,_ �' RECEIV'. D NOV 10 2016
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 xx
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 10725 S Ocean Dr. unit 12
Legal Description: Holiday Out @ St Lucie Blk A Lot 12
Property Tax ID#: 4511-501-0014-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Barton Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.OF-WORK:
Reroof- Shingle to Shingle _ la
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all appy:
HVAC. Gas Tank ❑Gas Piping _Shutters Windows/Doors
0Elect ric 0 Plumbing @Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: 700 Sq. Ft.of First Floor:
Cost of Construction:$ 2,000 Utilities: Sewer Septic Building Height: 12'
OWN ER/LESSEE: CONTRACTOR:
Name Robert S Barton Name: Timothy Mehaffey
Address:6565 Ever Green Ln Company: Mehaffey Construction Group, Inc.
City: Gloucester State:VA Address: 3564 SE Dixie Hwy
Zip Code: 23061 Fax: City: Stuart State:FL
Phone No. Zip Code: 34997 Fax: 772-398-7111
E-Mail: Phone No. 772-398-7600
Fill in fee simple Title Holder on next page(if different' E-Mail: jnegron@mcongroup.com
from the Owner listed above) State or County License: CCC1330446
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: xx NotrApplicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable BONDING COMPANY: 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
comm
cin Workpr recording our Notice of Commencement.
s
Signa ure of Owner/ ssee/Contractor ge or not of Contractor License Holder
STATE OF FLO D_A STA E OF FLORIDA v
COUNTY OF .�� t� COU rwl
The for oing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this iE day of 201UJby this 11 day of \\)D 20' U by
(Name of person ackno\A ging) (Name of person acknowledging)
k U, 1Yh I I tl�11
I
(Signature of Nota y Public-State of Florida ) (Sign ture of otar Public-State of Florida)
Personally Known ORPr d Identification Personally Known OR Produced Identification
Type of Identification Produced , Type of Identification roduced
Commission No. Commissio rygra...W" IWO ANNA NEd E
A• "'° J OVAfe N4 fel GRON 8
MY COMMISSION F MY COMMISSION#FF221909
%?oc W � EXPIRES April 19.2019 '•,ary,,•`
(•107)J9Q-0"5$ floridallotaNSetvice.corr
Revised 07/1 14.53 FloridaNataryService.wm r
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS