HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ;
Date: 212116 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
PROPOSED IMPROVEMENT LOCATION:
Address: 1q3 56 N(Cd G St .
Legal Description: R; Ver 'Day- 1< —yYN 1
Property Tax ID#:_3y1�/ - 515 - aa�(- aaa - Lot No. a(
Site Plan Name: Block No. —a
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Tz- K i S11
ri5 ooh Cti-J
't)54'11
.n w st .' S O'd
1 � S ► �, l�
Und _ /ai /'►'12 4.
5/Ja-
Address: 1816 SW BILTMORE
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit — c ec a appy:
HVAC 1, Gas Tank Gas PipingShutters ❑ Windows/Doors
L-.�l
0 Electric El Plumbing ❑ Sprinklers []Generator � Roof
Total Sq. Ft of Construction: 17317 S. Ft. of First Floor:
Cost of Construction: $ %; d O a Utilities: Sewer D Septic Building Height: 1
OWNER/LESSEE:. i
CONTRACTOR:
Name [<Qy Y1 C) 1 �e-/I&
Name: BRIAN J MALONEY
Address: S6 M&c)a
Company: TREASURE COAST ROOFING
City: DDY !9', L)c';k, State: FL
Address: 1816 SW BILTMORE
Zip Code: 3 115 a Fax: N/A
City; PORT ST LUCIE State: FL
Phone No.
Zip Code: 34984 Fax: 772-343-8358
E -Mail: N/A
Phone No. 772-370-9770
Fill in fee simple Title Holder on next page (if different
E -Mail: TCROOFINGLLC@GMAIL.COM
from the Owner listed above)
State or County License: CCC1330653
irvame m construction is w5uu 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
commencing work or recording vour Notice of Commencement.
STATE OF FLORSTATE OF FLORIDA
I4�
COUNTY OF 1 &,,c COUNTY OF , Irl— L-A. c ---C
Theoing instru as cknowledged k!fore me
this fprgday of 20 by
J J VV)�l lame
(Name of person acknowl',ce Eng )
of NcWry 96blic- State of
r
Personally Known OR Produced Identification
Type of ldentifica on roduced
The for oing instrument was a knowledged before me
this day of Al PWC 20 by
(signattf0-QMotary Public- State of Florida )
Personally Known
,Produced identification
Type of Identificatio rod uced
Commission No. pr�e�%,��O�dA Commission No. (iBRIJNkF Z,�mo�B�^'
• a O•
Q:tir�12, 8 cS o°�tS
Revised 07/15/2014 v a•) _'
REVIEWS
FRONT
Jii�Ge"`%ISOR
PLANS
VEGETATION
SEA TI}>°°°
AI
COUNTER
REi/fj
sT%1EW
REVIEW
REVIEW
REVIENVrag9y'
URI
DATE
COMPLETE
INITIALS