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ALL APPLICABLE INFO MUST 13E COMPLETED FOR APPLICATION TO Permit
Number:
Date: 8-4-2017
Building Permit. Application
planning and Development Services
Building and Code Regulation Division Reside)
2300 Virginia Avenue, Fort Pierce FL 34982 Commercial rj
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end
PROPOSED IMPROVEMENT LOCATION:
Address: 7502 Bayard
Leal Description: LAKEWOOD PARK ADDITION NO 1- BLKA LOT 20 (OR 2254-2794)
15
Property Tax ID ##. 1302-810-0020-000-3
Site Plan Name:
Project Name: Back: __ Right Side: . Left Side:
Setbacks Front—
x
line
Lot No.__
Block No.
DETAILED ESCRIPTION OF WORK i�
g
Tear off existing shingle roof install new shingle roof with peel and stick Lend arlayment
FL#16048-R3 for peel and stick FI# 10674-R12 r- 5-("� i„ � to sJ C�
CONSTRUCTION INFORMATION:
itiona w-` to M-peTo—rined uner t is permit – c ec a apP y-
70dGas Piping
Shutters Windows/Doors
QHVAC Gas Tank p g ,
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1500 S . Ft. of First Floor:
Cost of Construction: $ 2470.00 utilitiesSewerElSeptic Building Height: 15
OWNER/LESSEE:
Name Christine A Garofalo
Address: 98 Marvin NY 11772
City: ST Patchogue, State: NY
Zip Code: 11772 Fax:
DI—no N„ 509-628-6789
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: Richard A. Newland
Company: Richie the Roo
Address: 905 13th st sw
City: Vero Beach
Zip Code: 32962
Phone No. 772-464-4329
E -Mail: richieroofer@yahi
State or County License:
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
Fax: 866-610-8652
1
I SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: 11 I
DESIGNER/ENGINEER: — Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name-. RichardANewland
Address: 905 13th st sw
City: Vero Beach
Zip: 32962
Phone: 772-473-6897
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_ Not Applicable
e:
Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize the permit holder tc 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 restrictio ns 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: roi m additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anotV er 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
rnrr rnonrinc tiunrle nr rarnrriincr vni it NntirP Cif CrimmPncement-
Revised 07/15/2414
REVIEWS
-
S
_Signature of Owner/ Lessee/Agent
nature of Contractor/License H
)]der
STATE OF FLORIDA
STATE OF FLORIDA
DATE
COUNTY OF r i'
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was ack
owledged before me
this day of 20 L7 by
this day of s
_, 20 �2 by
(Name of person acknowledging)
(Name of person acknowledging
�J
C._
a
INITIALS
(Signature of Notary P16b Iic- State of Florida)
(Signature of Notary Pu lic- Stat(
of Florida)
Person y Kn nYCfR Producee
Type o ntifi rdd�lced�, 9 $08iti'y
Pers ly K 3 Q( Pr
9Y,
Type o entification Prodte
dueed`r
�risry�oalL:y
883700
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Commission No.
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i s x# s
Commission No.
k u r IR- 13 2Q17
rJri. tl i. s. icte fnsuranee
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Revised 07/15/2414
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-4-2017
COUNTY
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce !<L 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the
PROPOSED IMPROVEMENT LOCATION:
Address: 7502 Bayard
Legal Description: LAKEWOOD PARK ADDITION NO 1- BLKA LOT 20 (OR 2254-2794)
Property Tax ID #: 1302-810-0020-000-3
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Tear off existing shingle roof install new shingle roof with peel and stick ul
FL#16048-R3 for peel and stick FI# 10674-R12 (Zi— 9-1,4 vl� !r G C
al x
of line
Lot No.
Block No.
ment
CONSTRUCTION INFORMATION:
Additional worK to be errormed under this permit —check a app y:
HVAC Gas Tank Gas Piping OhuttersSNindows/Doors
Electric Plumbing Sprinklers Generator I J oof
Total Sq. Ft of Construction: 1500
Cost of Construction: $ 2470.00
OWNER/LESSEE:
Name Christine A Garofalo
Address: 98 Marvin NY 11772
S Ft. of First Floor: _
Utilities:LiSewer E Septic
City: ST Patchogue, State: NY
Zip Code: 11772 Fax:
Phone No. 509-628-6789
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Richard A. Newland
B�Jilding Height: 15'
Company: Richie the Roofer
Address: 905 13th st sw
City: Vero Beach
Zip Code: 32962
Phone No. 772-464-4329
E -Mail: richieroofer@yahoo.co
State or County License: CCC
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
ax: 866-610-8652
1