HomeMy WebLinkAboutBuilding Permit Application a
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: f9' � 1-7 Permit Number: 1106- 00,37
RECEIVEDm
Building Permit Application JUN /2
Planning and Development Services f�O
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x �, S
PERMIT APPLICATION FOR: Roof �k
PROPOSED 1MPROVEMENT`LOCATIO
N:
Address: 1404 Platts Lane
Legal Description: 1404 PLATTS LN, PLATTS BRANCH LOT 3(0.92 AC)
Property Tax ID#: 2433-501-0003-000-5 Lot No.3
Site Plan Name: Block No.
Project Name: Kurt Holden
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION 0F.1NORK.
Remove Existing Shingle Roof Lomanco Ridge Vent
Install IKO Stormshield Underlayment Remove existing membrane , replace with Polyglass
Install IKO Cambridge LifeTime Shingles SAV Base and PolyFresko cooling system
5 1/2 Pitch Install 2 Suntek CM Glass Skylights
CO'NSTRU:CTIO,N INFORMATION
Additional work toe ertormed under this permit—check a appy:
HVAC Gas Tank F]Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator W1 Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 1200 SFt. of First Floor:
Cost of Construction: $ 17,125.00 Utilities:cnSewer Septic Building Height: 13
OWN ERJLESSEE (ONTRACTOR:
Name Kurt Holden Name: Gary Marzo
Address: 1404 Platts Lane Company: Gary Marzo Inc
City: Ft Pierce State:FL Address: 861-ASW Lakehurst Drive
Zip Code: 34982 Fax: City: Port St Lucie State:FL
Phone No.772-579-6048 Zip Code: 34983 Fax: 772-465-8829
E-Mail:caskholden@gmail.com 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-CO58193
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Mill
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.
&Uj�'_. mil!VE %%Ilox V&TL4q0_ s
Signature of w er/Lessee/ tractor as Agent for Owner Signature of Cotr ctor/Licens older
STATE OF FLORIDA STATE OF FLO DA
COUNTY OFA•L Acle- COUNTY 0 L
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of '75A.h2 20 )a by this_L_day of 5X*_x, ,20 0_by
(Name of person acknowledgin ) . (Name of perso ckno gi
•i L
(Signature of Notary u li $ ate o lorida) (Signature o o ary Pu c-State of Florida)
Personally Y,,� n Personally Known OR Produced Identification
Type of Identifica ��`�
Type of Ide cYiD9111y [A yp °a•• DAVID VANDERFLIER
"-' My COMMISSION#FF 9550 �°' 'P
�' I$tJ, � s.f
Commissio N( grr;r?°' Fro Marc 18 Commission No. i oMMISSI Fpss550
y'•.....:..
Awa . EXPIRES March 9,2018
(407)39e-0153 FloridallotaryService.com
FI-Pie
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS