HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE 1FO MUT BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: 1 Glc
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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
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 10851 S Ocean Dr. #85
Legal Description: Windmill Village By The Sea Condominium No 1 Units 85 and 86 and Pro -rata share in common elements (OR1300-1100, 1102)
Property Tax ID #: 4511-810-0092-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side:
DETAILED DESCRIPTION OF WORK:
Remove existing shingles and replace with 5-V Crimp
CONSTRUCTION INFORMATION:
Additional work to be performed
EIHVAC
ElElectric
Gas Tank
Plumbing
Total Sq. Ft of Construction: 869
Cost of Construction: $ 4500.00
OWNER/LESSEE:
Name James & Maureen Eubanks
Address: 10851 S. Ocean Dr. #85
City: Jensen Beach
Zip Code: 34957 Fax:
Phone No. 734-260-2193
E -Mail: jm.moeubanks@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Left Side:
under this permit — check all hat apply:
nGas Piping J _ Shutters
= Sprinklers 0 Generator / Roof
SI. Ft of First Floor: a/vi
Utilities: Sewer El Septic Building Height:
Lot No.
Block No:
l l Windows/Doors
State:
CONTRACTOR:
Name: Jamie Cisco
Company: Sunshine Roofing, LLC
Address: PO Box 1083
City: Palm City
Zip Code: 34991 Fax:
Phone No. 772-260-8195
E Mail: sunshineroofingllc@gmail.com
State or County License: CCC1327796
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
8'
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
i Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip:
Phone:
Not Applicable
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 r co ding vour Notice of Commencement.
TE OF FLORIDA
COUNTY OF St. Lucie
The folming instrument was acknowledged ube fore me
this k.day of-eetner- , 201JWby
LT \ `E b2 r,lcs
(Name of person acknowledging )
(Signatu e of Notar
Personally Known
Type of Identification
41141
Prlblic- St to of FI
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Commission No.
Revised 07/15/2014
rida )
} ice@{ary Public State of Florida
Marilyn Kluegei
My CortrtyyppisssiR�n FF 230179
4-4 Expires 019
REVIEWS FRONT
COUNTER
DATE
COMPLETE
INITIALS
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REVIEW
SUPERVISOR
REVIEW
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Sigr(ature oTContractor/License Holder
ST4E OF FLORIDA
COUNTY OF st Lucie
The forgoing instrument was acknowledged • efore me
this : j 'day of I_ , 20 'by
Jamie Cisco
(Name of person acknowledging )
(Signat
r-\
re of Notary Public- Sta a of Flori a )
Personally Known X OR Produced Identification
Type of Identifica '. P odu c
0.„ga Poo,. Notary Public statMslirida
Kfuegei
+ My Commission FF 230179
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Commission No.
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE MANGROVE
REVIEW REVIEW