HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d
Date: �S, 3d 111 Permit Number:
RECEIVED MAY 3 0 2017
19101190 11 �404
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: Roof11 1
Address: 3116 Palm Warbler Ct
Legal Description
46)
Eagle's Retreat at Savanna Club Phase 2 (PB 43-21) BILK 58 LOT 47(OR3162-336,3597-599,3826-43
Property Tax ID #: 3424-702-0057-000-0
Site Plan Name:
Project Name: Peter Zelmanow
Setbacks Front Back: Right Side: _
Remove Existing Shingle Roof
Install Soprema Resisto Underlayment
Install IKO Dynasty Lifetime: Castle Grey
2 1/2 Pitch
wo
HVAC I �J Gas Tank
11 Electric ❑ Plumbing
Total Sq. Ft of Construction: 2900
Cost of Construction: $ 9370.00
;I
Left Side:
Lomanco Ridge Vent
Replacing Solar Tube Dome only (2)
er this permit — cl
❑Gas Piping
Sprinklers
an apply:In Shutters
E]Generator
S Ft. of First Floor:
Utilities:Sewer O Septic
Lot No. 47
Block No. 58
IYU Windows/Doors
Roof 2/12 Roof pitch
'IBuilding Height: 13
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. "
Name Peter Zelmanow
Name: Gary Marzo p
Address: 3116 Palm Warbler Ct
Company: Gary Marzo Inc
City: Pt St Lucie State: FL
Address: 861-A SW Lakehurst Drive
Zip Code: 34952 Fax:
City: Port St Lucie State: FL
Phone No. 772-249-5777
Zip Code: 34983 Fax: 772-465-8829
E -Mail:
Phone No. 772-871-2489 i� j
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-CO58193
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. "
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
i
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 bulla the suoject 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 resultilin 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.
&U,A- M0116- j�"
Signature of w er/Lessee/kjhtractor as Agent for Owner Signature of Co'N'
STATE OF FLO ,DA J' STATE OF FLO
COUNTY OF f" /— uCrf-2 COUNTY OF
The for oing instrument was acknowledged before me
this day of Mcw, 20 D by
(Name of person acknowledgin )
(Signature of Notary u li � ate o -lorida )
Personally
Type of Ide
MY COMMISSION #FFO 9550
Commissio NQS?I'- 04 a FXPIFiFC March(9�18
398-0153
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this day of 191, / 20 17_ by
(Name of perso ckno gi
(Signature o o ary Pu c- State of Florida )
Personally Known OR�Produced Identification _
Type of Identifica
DAVID VANDQERFLIER
Commission No MYCOMMISSiCIC� QF099550
A^'•'orP �" = EXPIRES March 9, 2018
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