HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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
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Address: 496 Hemingway Terrace F-09
Legal Description: Tropical Isles (or 2786-2163) Unit F-09
Property Tax ID #: 3410-508-0131-000-4
Site Plan Name:
Project Name: Carole Kelly
Setbacks Front Back
Right Side: Left Side:
0 0 ---------- -- -
Remove existing shingle roof Lomanco RV
Install IKO Stormshield underlayment Manufactured Home
Install IKO Cambridge Shingles
2 1/2 Pitch
Lot No. F-09
Block No.
Additional work to bene] rtormed under this permit —check all apply:
11 HVAC Gas Tank []Gas Piping Shutters � Windows/Doors
11 Electric ❑ Plumbing
Sprinklers 11 Generator Roof 2/12 Roof pitch
Total Sq. Ft of Construction: 1200
Sq. Ft. of First Floor:
Cost of Construction: $ 4325.00
Utilities:Sewer
Septic Building Height: 13
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1 ,,
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Name Carole Kelly
Name: Gary Marzo
Address: 496 Hemingway Terrace
Company: Gary Marzo Inc
City: Ft Pierce
State: FL Address:
Zip Code: 34982 Fax:
City: Port St Lucie State: FL
Phone No. 772448-8793
Zip Code: 34983 Fax: 772-465-8829
E -Mail:
Phone No. 772-871-2489
Fill in fee simple Title Holder on next page ( if different E -Mail: marzoroofinginc@gmail.com
from the Owner listed above)
State or County License: CC -C058193
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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
commencing work or recording your Notice of Commencement.
s
Signature nner9Les a/Contractor as Agent for Owner Signatur o Contractor icense Holder
STATE OF FLORIDA
COUNTY OF , y /i/,0,r p
The for ging instrument w acknowledged fore me
this day of171/f 20 ,-y
(Name:ofjpersqh acknowle in
(Signata7OR
State of Florida )
Personally Known Produced Identification
Type of Identificati in Prnrbirarl
DAVID VII CACNPERFL,IER
Commission No. _ MY COMIVI95%TaN #FF099550
-'rFaFoa;•° EXPIRES March 9, 2018
(407) 398-0153 FloridallotaryService.com
Revised 07/15/2014
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY OF `'V 41441l(
The forgoing instru e t was a nowledged before me
this day of �% , 20 ,,!!�Z by
(Name of pers kno
�y
(Signature of Notary Publ - tate of Florida )
Personally Known OR Produced Identification
Type of Ider tification Prndura,t
Commission,
SUPERVISOR I PLANS
REVIEW REVIEW
DAVID VANDERFL.IER
—M*-6�11SSION �tS� 6550
.�;
FEXPIRES March 9, 2018
(407) 398-0153 FlotidallotaryService.com
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