HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z / 7 Permit Number: 1767-, u S O-
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_ - Cn= Building Permit Application AUG /7 2017
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
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Address: 1 ARBOLES LANE PORT ST LUCIE ,FL 34952
Legal Description: SPANISH LAKES RIVERFRONT
Property Tax ID#: 3427-111-0002-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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WI V4
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TEAR OFF EXISTING ROOF INSTALL TAMKO SHINGLES AND TRIBUILT PEEL N STICK
UNDERLAYMENTAM
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Add
itiona wor Wtobe"gertoErmeTanundPer this permit-check all appy:
HVAC Gas Tank ❑Gas Piping In Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers E Generator Z Roof
Total Sq. Ft of Construction: 1200 S Ft.of First Floor:
Cost of Construction:$ 6000.00 Utilities:Sewer Septic Building Height: 1
a.A
Name NINA OLIVA Name: BRIAN J MALONEY
Address:1 ARBOLES LANE Company: TREASURE COAST ROOFING
City: PORT ST. LUCIE State:FL Address: 1816 SW BILTMORE
Zip Code: 34952 Fax:N/A City: PORT ST LUCIE State:FL
Phone No.772-359-0174 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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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:
1 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.
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_Signature of Owner Le 4e/ken Signat re of r/ ' ense old
STATE OF FLORIDA C` STATE OF FLCOUNTY OF O DA
COUNTY OF L c t
The fing instru nt was ac nowledge`defore me The forgoing instru ent was ac nowledged before me
thisday of Vl IAJ 20 1by this 3 day of �Cd1rJ 20 I by
V,
(NaWpersondging) (Name of per wledging)
(Signature of Nto ublic-State of Florida) (Sig a otary Public-State of Florida)
,,•- �R'II 5 �CdO� i {
Personally Known OR Pr 'c
�Qert ;f9ti'dy} Personally Known OR Produced IdkYf' � Ed
Type of ldentificati n Produced Q�•.'a�sIOtI F ••.• Type of Identification Produced a�~� ti��.•••. �F °>
Commission No. _ 'y (Seat' N •�` �_ Commission No. ,2,2or� 9�•.••*
o* ��F 122434 �¢_v ••� � :�
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS