HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/31/2016 Permit Number:
• RECEIV yD NOV 16 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 — S�•
PROPOSED IMPROVEMENT LOCATION: -
Address: 10725 S Ocean Dr
Legal Description: Holiday Out @ St Lucie Blk B Lot 39
Property Tax ID#: 4511-501-0084-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Farr Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,AF WORK:
REROOF - Shingle to Shingle CA\
CONSTRUCTION INFORMATION: .
Additional work toe e orme under this permit—check a appy:
[1HVAC r]Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric EJ Plumbing Sprinklers F]Generator g Roof Roof pitch
Total Sq. Ft of Construction: 495 Sq. Ft.of First Floor:
Cost of Construction:$ 0�.CM Utilities:USewer Septic Building Height: 11'
.OWNER/LESSEE': ; CONTRACTOR: : -
NameRobertJ Farr Name: Timothy Mehaffey
Address:8 Church St Company: Mehaffey Construction Group, Inc.
City: Melrose State:MA Address: 3564 SE Dixie Hwy
Zip Code: 02176 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: _ of Applicable MORTGAGE COMPANY: xx Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: P4ione:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDR9`6'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:roam 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
commencin work or recordinkypyr Notice of Commencement.
_x0fell- 41 v3r� s
Signature of Owner/Le ee/Contractor as Agent for Owner ignature o Contractor/License Hold
STATE OF FLORIDA STATE FLORIDA
COUNTY OF Coal COLIN �d
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1 I day of 20 11 by this day of • 20 by
(Nam f pers .n acknowledging) (Name of person acknowledgingUAL
)
(Signature oV Notary ,ublic-State of Florida) (Signature of Notary u lic-State of Florida)
Personally Known OR Prod ced Identification( Personally Known[4L OR Produced Identification
Type of Identification Produced Type of Identification Produced
®moo
Commission No.. {Sexy Commission No. JPiOYANN&NOGRON B
JHOVANNA NEGRON B ''9 MY COMMISSION#FF221909
EXPIRES April 19.2019 (407)99.,1-0'53 FbridaNwwySnMco.4aR -
Revised 07/:1 1, 53 fiorieaNa ySerrice.meC
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS