HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / JJ
Date- 1? Permit Number: ( 70 0/
RECEIVED
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
'PROPOSED'IMPROVEMENT LOCATION:.
Address: 13954 ENCANTARDO CIRCLE
Legal Description: SPANISH LAKES FAIRWAYS
Property Tax ID#: 1306-111-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF. INSTALL PEEL N STICK UNDERLAYMENT AND TAMKO
SHINGLES
CONSTRUCTION INFORMATION:
Additional work to be ertormed under tispermit—check all apply:
HVAC Gas Tank ❑Gas PipingMGenerator
Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Z Roof
Total Sq. Ft of Construction: /a Uy vc� S Ft.of First Floor:
Cost of Construction:$ S �� Utilities: _Sewer Septic Building Height: 1
OWNER/LESSEE CONTRACTOR:
Name JOSEPH VINCENT REVELLA Name: BRIAN J MALONEY
Address: 13954 ENCANTARDO CIRCLE Company: TREASURE COAST ROOFING
City: FORT PIERCE State:FL Address: 1816 SW BILTMORE
Zip Code: 34951 Fax:N/A City: PORT ST LUCIE State:FL
Phone No.772-528-4076 Zip Code: 34984 Fax: 772-343-8358
E-Mail:NIA 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: Y�State: Cit 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 permitwill authorize the permitholderto 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.
--::)—.� _'7EZJ s
_Signature of Owne sse t Signature of Contra(t9KILicen a IJ61der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF UC_' COUNTY OF L kc1 , �
The forgoing instrument as acknowledged before me The for oing instryeaent was acknowledged before me
this day of U 20 aby this jJ day of � 20�by
--
ICL n Fa G Lr�e
(Name of person c owl ging) (Name of pers no ledging)
v
(Signa f N a blic-State of Florida) (Si tureotary Public-State of Florida)
Personally Known_X_OR Produced Identification Personally KnownV OR Produced Identification
Type of Identification Produced Type of Identificatio roduced
Commission No. w`;p".�Eayd �<` ,.. Commission No.ON
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