HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: (1 63'' 0r3(3
RECD l'. ,'�14,� 2
7017
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 -
PROPC#SED,)MPROUEMENT.LOCATIN,
Address: 8036 9TH HOLE DRIVE, PORT ST LUCIE, FL 34952
Legal Description: 8036 9TH HOLE DRIVE, LINKS AT SAVANNA CLUB (PB 40-39)BLK 42 LOT 10
Property Tax ID#: 3425-707-0215-000-4 Lot No.10
Site Plan Name: Block No. 42
Project Name: KEVIN CHRISTENSEN
Setbacks Front Back: Right Side: Left Side:
D.E7'AILED DESCRIPTION OF 1NORK:
Remove Existing Shingle Roof Install Lomanco Ridge vent
Install Tri-Built Sand Underlayment Install 1 glass Suntek SF Skylight
Install Tamko Heritage Shingles Manufactured Home
3 1/2 Pitch
CONSTRUCTION INFORMATION * `
A itiona wor to a orme under this permit—check a appy:
HVAC Gas Tank []Gas Piping M
Shutters • Windows/Doors
11 Electric Plumbing Sprinklers Generator W1 Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1800 SFt. of First Floor:
Cost of Construction:$ 6965.00 Utilities:cn Sewer 0Septic Building Height: 13
C+111/N ER/LESSEE CONTRACI`OR
Name Kevin Christensen Name: Gary Marzo
Address:8036 9th Hole DR, Company: Gary Marzo Inc
City: Pt St Lucie State:FL Address: 861-ASW Lakehurst Drive
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No.732-600-0632 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.
SUPPLEi1lIENTAL CONSTRUCTION LIEN LAW INFQRMATION
� R,<.3,.
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
commencing work or recording our Notice of Commencement.
�hn� MAY7V�4 4431A NAT s
Signature (Awn er/Lesse ntractor as Agent for Owner Signa re oUFRIDA
tr ctor/Lic s Holder
STATE OF FLORIDA STATE OF
COUNTY OF-J' •/jrye, COUNTY OF_ J, /-kllP
The forgoing instrument was acknowledged before me The forgoing instrument was ac<nowledged before me
this day of_, i(j7.�i/ 20= y this day of 20 by
r�
(Name of person acknowledgi g) (Name o -Person acknowle
(Signature o ulSlic-State of Florida) (Signature of goearV Public-State of Florida)
Personally Know d-ft}en4i Personally Known a
Type of Identific tiop c EREL.IER Type of Identification P oc day:: DAVID V
=• MY COMMISSION#FF099550 MY COr MIS ION#FF099550
Commission No. �� Commission No. :o:` aa��g1
oFp�,.:• IRES iVr 9,2018 ._oFc� : EXPIR`E9al arch 9,2018
(407)398-0153 FloridallotaryServicexom (407)398-0153 FloridallotaryService.com
Revised 07/15/2014
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