HomeMy WebLinkAbout1709-0115 1'A
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11
Date: /a ` (s. 17 Permit Number:
•
Building Permit ApplicationOCTCTm
6 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: 484 Tropical Isles Circle#D-32 Ft Pierce FL 34982
Legal Description: 484 Tropical Isles Circle Tropical Isles(or 2786-2163) Unit D-32
Property Tax ID#: 3410-508-0109-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Donald Bergeron -
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove Existing Shingle 1 Polycarbonate Solar Tube Dome Only
Install Soprema Resisto Underlayment 3/12 Pitch
Install IKO Cambridge Shingles
Install Lomanco Ridge Vent
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check 511 appy:
❑HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
0 Electric 0 Plumbing Sprinklers Generator W1 Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1500 S Ft. of First Floor:
Cost of Construction:$ 6598.00 Utilities:Sewer Septic Building Height: 13
OWNER/LESSEE: CONTRACTOR:
Name Donald Bergeron Name: Joshua Schroeder
Address:484 Tropical Isles Circle#D-32 Company: Marzo Roofing Inc
City: Ft Pierce, State:FIL Address: 861 A-SW Lakehurst Drive
Zip Code: 34982 Fax: City: Port St Lucie State:FL
Phone No.772-467-0182 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@gmail.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 Count makes no repre entation that is granting a permit will authorize the permit holderto build the subject structure
which is in conflict with any app cable Home Owners Association rules,bylaws or and covenants tat may restrict or prohibit such
structure.Please consult with y ur Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting f this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approve plans,the Florida Building Codes and St.Lucie County Amendments..
The following building permit a plications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming ools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Yo r failure to Record a Notice of Commencement may result in your Paying twice for
improvements to your pro erty.A Notice of Commencement must be
record �s
te
before the first ins onIf yan dP�6borneyb'igf_'
fd ra
commenci r orre o ourN ceof
Commencement.
" s
i of Owner essee/Con ractor as Agent for Owner Ignature of Contractor/License Holde
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S COUNTY Of -10
The fo oing instty e""nt��w��as a knowledged before me The forgoing instru `en�was acknowledged before me
The
day of G 20 0—by this day of c .20 ',by
1
(Name of person acknowledgin ) (Name of person acknowledging
(Signature ofhi6ti 11 Pfihlic--Sh fg of FInrida (Signat e o Public State of Florida
Personally Known = �pu ViD E FLIER Personally Kn { YPuf`�`: NAM90ii N
Type of Identificati ri � � � Type of Idents I &OMMISSION#FF099550
'.?AOFsr�Q'amxvl c ----------
EXPIRES March 9, 2018
l+MnnilMl n il.nM
Commission No. (407)09"16. FloridaMw
ervlce.com Commission 07)M-0104 FiortdallotaryS &M
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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