HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/14/2016 Permit Number:
RECEIVED
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Building Permit Application DEC 2 7 2016
PERMITTING
Planning and Development Services St. Lucie County, FL
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
Address: 44 San Roberto, Fort Pierce, FL 34951
Legal Description:
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Remove existing roof system and replace with the same. Owens Corning 3 Tab Shingle.
[COA*!CT � _ €
Add—itional work toe Derformed uncleirltfiii permit—check a .tbal appy:
E]HVAC 0Gas Tank E]Gas Piping _Shutters Q Windows/Doors
❑Electric ❑ Plumbing oSprinklers ElGenerator Roof
Total Sq. Ft of Construction: 1800 S Ft.of First Floor:
Cost of Construction: $ 5,000.00 Utilities.. Sewer E]Septic Building Height: 15ft
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Name DANIELLE McCURDY Name: DOUG LEMAN
Address:44 SAN ROBERTO Company: ORCHID ISLAND ROOFING
City: FORT PIERCE State:FL Address: 856 US HIGHWAY 1
Zip Code: 34951 Fax: City: VERO BEACH State:FL
Phone No. Zip Code: 32960 Fax:
E-Mail: Phone No. 772-643-5950
Fill in fee simple Title Holder on next page(if different E-Mail: doug@oiroofs.com
from the Owner listed above) State or County License: CCC1329687
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNERJENGiNfER: —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
commencin work or recording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Indian River COUNTY OF Indian River
The fo going in ment was acknowledge before me The forgoing instrument was acknowledged before me
this_day o�ba_ 20�by this t4 day of December 20\�p by
Doug Leman 1 Doug Leman
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of FSjON f• �i� (Signature of Notary Pub ic-State of Florida)
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Personally Known �OR Produgedwtfi �.* Personally Known 1./~ OR Produced� ni0• ' ''-�
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Type of Identification Produced ••• :¢_ Type of Identification Produced �•.G°ember is dor•. }
Commission No.t--' 4� ��}c so„aea�`' •4� Commission No � =i seal) �►•�
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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INITIALS