HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/4/17 Permit Number:
RECEIVED !AN 10 2017
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 X
PERMIT APPLICATION FOR: Roof -
PROPOSED IMPROVEMENT LOCATION:
Address: 10751 S OCEAN DR A-6 JENSEN BEACH, FL 34957
Legal Description: PLEASE SEE ATTACHED
Property Tax ID#: 4511-311-0010-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF (MOBILE HOME)
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit—check a appy:
HVAC Ei Gas Tank []Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator W1 Roof 412 Roof pitch
Total Sq. Ft of Construction: 1764 S Ft.of First Floor:
Cost of Construction:$ 7930.00 Utilities:Sewer Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name DONNA SCHIESS Name: CHARLES RICHARDS
Address:10751 S OCEAN DR A-6 Company: ALL AREA ROOFING
City: JENSEN BEACH State:FL Address: 3921 S US HWY 1
Zip Code: 34957 Fax: City: FT PIERCE State:FL
Phone No.201-906-4176 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC1326177
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _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 thepermit 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
comme.MiFrg work or recordin our Atice of Commencement.
17, s
Signa ure of Owner/Lessee Contractor as Agent for Owner Sign re of older
STATE OF FLORIDA STATE OF FLORIDA
COU NTY O F ST LUCIE COUNTY OF ST LUCIE
The forgoing instr ent was acknowledged before me The forgoing instr ent was acknowledged before me
this day of (,CCLCT
�7 by this day of ce j20 �by
CHARLES RICHARDS CHARLES RICHARDS
(Nam of person acknowledging) (Name of erson acknowledging)
(-Signature of Notary blic-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced Commission No. 0 ::�4r, (SealkAlmMASON Commission No. cru ($e4M7IiMASON
* * MY COMMISSION#GG 003939 * MY GOMMISSION k GO 003939
NA IC f
AORF6oQ� �1dedThNBudpatNotary9�rvcea lk P d ;IwWTHb1Woo1NWgsAWM
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
11 3741 FROM SW COR OF SEC 12-3741 RUN N69 DEG 55 MIN 14 SEC E ALG S SEC LI 774.41 FT TO CIL OF AIA,TH N 23 DEG 49 MIN 31SEC W ALG SO CIL 2921.33 FT,TH S66 DEG 10 MIN 29 SEC W290.01 FT,TH N
87 DEG 33 MIN 17 SEC W393.12 FT,TH S89 DEG 57 MIN 13 SEC W133.4 FT,TH S 00 DEG 02 MIN 43 SEC E20 FT,TH S 89 DEG 57 MIN 13 SEC W210.32 FT,TH S 00 DEG O6 MIN 11 SEC E386.82 FTTO POS,TH N 46
DEG 22 MIN 17 SECE 40.5 FT,TH N 89 DEG 56 MIN 50 SEC E 82.15 FT,TH N 00 DEG OB MIN 46 SEC W 60 FT,TH S89 DEG 56 MIN 50 SEC W112.42 FT,TH SOD DEG O6 MIN 11 SEC E86.8 FT TO POB(AS)(OR 3882-1576)