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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: o Permit Number: 1���r©� �J7 7 Building Permit Application A U 63 2 Planning and Development Services P-Fi'R%'IJ,i T r I'N'G Building and Code Regulation Division St. Lucie County FL 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: 8300 Maidencane Place, Legal Description: 8300 Maidencane Place, Lake Lucie Estates Plat NO. One Lot 129 (or 1157-185) Property Tax ID#: 3426-703-0143-000-9 Lot No. 129 Site Plan Name: Block No. Project Name: Joseph J Toth Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Remove Existing Shingle Roof Lomanco Ridge Vent Install Soprema Resisto Underlayment Install 2 SF Suntek Glass Skylights Install IKO Cambridge Shingles 6 1/2 Pitch CONSTRUCTION INFORMATION: ACIClitional work tobe nertormed under this permit-check all apply: 11HVAC 0 Gas Tank []Gas Piping _Shutters Windows/Doors 0 Electric E]Plumbing FlSprinklers Eenerator Z Roof Roof pitch Total Sq. Ft of Construction: 2700 S Ft of First Floor: Utilities,11 —Septic Building Height: 13 Cost of Construction:$ 11,895.00 Sewer OWNERAESSEE: CONTRACTOR: Name Joseph J Toth Name: Joshua Schroeder Address:8300 Maidencane Place Company: Marzo Roofing Inc City: Port St Lucie State:FL Address: 861-A SW Lakehurst Drive Zip Code: 34952 Fax: City: Port St Lucie State:FL Phone No. 772-343-0299 Zip Code: 34983 Fax: 772-465-8829 E-Mail: Phone No. 772-871-2489 Fill in fee simple Title Holder on next page(if different E-Mail: marzoroofinginc@gmaii.com from the Owner listed above) State or County License: CC-C1331207 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: 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 thepermit 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 record poste a�o site before the first ins 'on. If yo end t obtain financing,consult wit de r an orney bef e commenci ork or re or ' our N 'ce of Commencement. S i Owner Lessee/Contractor as Agent for Owner -Signature of Contractor/License Hold--err---- of STATE OF FLORIDP STATE OF FLORIDA - COUNTY OF sr' Luc'ae— COUNTY OF 3—77 The f r oing instru/�m�ent was acknowledged before me The fo oing instrument was acknowledged before me this day of hdA--7)1 S'� . 20 '!!-by this day of 20 �by m AV 1 11 )OL hG� 4-11 e� 'Ai'1►1 =)0j t�t2r-�'1 (Name of person acknowledging) (Name of person ackno led (sign atur of -Stntp dKinrida (Signature of N61tiry Pu lic-State of Florida 4. VID E FL_IE:R �g Personally Known I� lc n Personally Kn uiitr' ZJR� dI � MY(:�lVfMfSSION iFFFO * OMMISSION#FF099550 Type of Identificati I Type of Iderib l �� oQ••' arc �!N'pj FO' EXPIRES March'9, 2018 Commission No. (407)398.0159 Florida ervice.com Commission x.07)388.0769 FloridallotaryS # m Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS