HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/4/17 Permit Number: 00`_ 6
RECE1V'_:0 JAN 7017
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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 X
PERMIT APPLICATION FOR: Roof -
PROPOSED IMPROVEMENT LOCATION:
Address: 10751 S OCEAN DR All5 JENSEN BEACH, FL 34957
Legal Description: PLEASE SEE ATTACHED
Property Tax ID#: 4511-311-0019-000-2 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
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check a appy:
11 HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing []Sprinklers Generator Roof 512 Roof pitch
Total Sq. Ft of Construction: 3300 SFt.of First Floor:
Cost of Construction:$ 18,500.00 Utilities:cn Sewer Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name JAMES PETERS Name: CHARLES RICHARDS
Address:10751 S OCEAN DR A15 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.772-229-2269 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 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
commewAg work or recordin our N - of Commenceme
KtCA 4 '
s
Signature of Owner/Lessee/Contractor as Agent for wner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_�L day of 20 �7 by this E' day of 0.n LL& 20 by
CHARLES RICHARDS CHARLES RICHARDS
(Name f person acknowledging) (Name o person acknowledging)
�
cknowledging)
42 16
�z �. Cc-A
(Signature of Notary Public-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 (Seal) FAITHMASOW Commission No. (Seal)
* * MY COMMISSION#GG 00393 �tY PyEA11H MASON
ae EXPIRES:June 20,2020 MY COMMISSION#GG 003939
~FOFV J, BondadThtu�W ONN9la%Bervieed "
Revised 07/15/2014 EXPIRES:June 20,2D20
Bonds d Thlu Budget Notafy UMm
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS