HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ;/2/f/7 --- Permit Number:
-' 'J
Building Permit Application
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: 53 Sari L,,, i,--% 66 /4ov &ccc� FZ -9 y95/
Legal Description: t
Property Tax ID #: — 1301-111-0061-000-5-
Site
301-//1-0001-OaO-.-
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No._
Block No.
71 -ear o e xr's },%►� / a a r� ins r47 // rt e w S hingfts c�ncler /q y.•��� �.
Acigitionai worK to ne errormea unaer tnis permit - cnecK aii Lnat apply:
HVAC Gas Tank Gas Piping 1:1 Shutters Windows/Doors
11 Electric E] Plumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ S� 700 Utilities: 1:1 Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name�i��,�oC S 122G d rr~ kf5 __ --
Address: ! .2 JGn Luis Qk540
City: F1 ,iii crce State: FL
Zip Code: 3 ftgl Fax: NIA
Phone No.
Name: BRIAN J MALONEY
Company: TREASURE COAST ROOFING
Address: 1816 SW BILTMORE
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-343-8358
Phone No. 772-370-9770
E -Mail: NIA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: TCROOFINGLLC@GMAIL.COM
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
BONDING COMPANY: Not Applicable
Name:
Address:
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
WARMING 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 vour Notice of Commencement.
Signature of O L sse / nt
STATE OF FLORID
COUNTY OF I A,&
Theforgoing instru ent as acknowledged before me
this %day of 20 1'7by
(Name of person
(Signatureof ubli� Stater�f Florfcla }
Personally Known Of Prow ec;ldeh#ifie#tion
Type of Identifica on Produced' -�-'" W
Commission No. R ' F j�2';eal
n
Revised 07/15/2014
s
Signature of Contras or/L"cen Holder
STATE OF FLORIDA�
COUNTY OF UA 7�_ -
The ging instrume t was a know
for ledged before me
this day( ZO by
(Name of person a)e)afioWdging )
(Signature *No)" Public- State of Florida }
Personally Known Olt Produced 1deritif`c'ation
Type of Identifies 'on Produced
Commission No. `$alb j� 'r • `
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