HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (3)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/!3It7 Permit Number:
211 F
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: -7Z Y3 6 ih „A,- /Ai.5 LN 1964 .5 �- L,,e i e . 1V75z
Legal Description: Egg/e ;'� /Ze4reaf c, IL C_luA llk -ase A6T (c,
Property Tax ID #: .3 Y2_11 -76,1— 00-T 3 000 - q Lot No. 6
Site Plan Name: Block No. S4,
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
1e" e�F e,l•;sa�,.� rads'.'ns>// new t>n
der layo? en
,; 3/z
iditional worK to brtormed
HVAC f] Gas Tank
under
tnis permit- cnecK all tnat apply:
❑Gas Piping ❑ Shutters
Windows/Doors
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 neat page (if different
from the Owner listed above)
E -Mail: TCROOFINGLLC@GMAIL.COM
State or County License: CCC1330653
❑ Electric ❑ Plumbing
❑ Sprinklers
[]Generator
+ Roof
Total Sq. Ft of Construction: 2 y S$___ Sq. Ft. of First Floor: 2 9-5-;5Cost of Construction: $ 600 Utilities: Ll Sewer []Septic Building Height: 1
OWNER/LESSEE:
CONTRACTOR:
Name ireuary ShaCoN Never
Address: 7Ny3 G� A e �%i� ,_w/
City: poi f S f L v ei? State: FL
Zip Code: 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 neat 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:
iMORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
.Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 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 your Notice of Commencement.
_"�- �/_l :2L �'7 s
_ Signature of Owner/ L e/A ent Signature o ontra icens o er
STATE OF FLORI
COUNTY OFCt��
The fo oing instr ent wasacknowledged before me
this day of 20 17by
(Name of person 096ydedging )
(Signatur ry Public State®f^jP)gridaa
Personally Known "6R Mclucgdldentificbtion
Type of Identification ProduJc@d'
Commission No. (Seat}
Revised 07/15Y2014
STATE OF FLORIDA
COUNTY OF (Cc Lex c
Thefor OT
instrument was acknowledgedbbefore me
this r day of 2C i I by
(Name of persona wdging )
(Signatur f a Public- State of Fldrida ) , .
Personally Known OR Pcoc!LKo;cf Iderrtification
Type of Identification Produced_
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS