HomeMy WebLinkAboutBuilding Permit Application I�
ALL APPLICABLE IN/FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDt r7
Date: l Permit Numberd'i-
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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
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PRQPOSED IMPROVEMENT.�LOCATIO`N .�� , � ,„°,
Address: 8012 9th Hole Drive
Links at Savanna Club PB 40-39 BLK 42 Lot 4 or 1751-2739
Legal Description: � ) ( �
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Property Tax ID#: 3425-707-0209-000-9 I''• Lot No.4
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Site Plan Name: Block No. 42
Project Name: Richard Mitnitsky I
Setbacks Front Back: Right Side: Left Side:
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DETAILED DE IPTIONTOF WORK sr
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J .g nt tF^ t,. 2'' .J• .,n.� _
Remove Existing Shingle 2 Polycarbo Mar Tube Dome Only+
Install Soprema Resisto Underlayment Loman V
Install IKO Cambridge Shingles Ma actured HOme
3/12 Pitch �
CONSTRUCTION�INFORIVI%�TION �', � � ��"-�
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Additional work to be nertormed under this permit—check all thatappy: 111
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HVAC _Gas Tank DGas Piping _Shutters Windows/Doors
Electric ❑ Plumbing
]Sprinklers1:1 Generator ,V Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 2600 Sq. Ft. of First Floor:
10,300.00 l i
Cost of Construction:$ Utilities: _Sewer Septic I y Building Height: 13
OWNER L`ESSfE =
r; CONTRACTOR
Richard Mitnitsk Joshua Schroeder
Name tY Name: I'
Address:8012 9th Hole Drive Company: Marzo Roofindiric
City: Port St Lucie State:FL Address: 861 A-SW LakeN61 rst Drive
Zip Code: 34952 Fax: City: Port St Lucie I State:FL
Phone No.772-353-2764 Zip Code: 34983 ;'I Fax: 772-465-8829
E-Mail: Phone No. 772-871-24891
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: CCC-1331207
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.III I
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MDESIGNERNGINEER: Not Applicable MORTGAGE COMPANY: r;
� Not Applicable
Name: Name:
Address: Address:
City: State: City: :II State•
Zip: Phone: Zip; Phone: LII
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FEE SIMPLE TITLE HOLDER Not Applicable BONDING COMPANY: I ,,,_,Not Applicable
Name: Name:
Address: Address: 1
City: City:
Zip: Phone: Zip: Phone: III
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no repre entation that Is granting a Permit will authorize the permit holder to build the subject structure
which is in conflict with anyi app!cable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult w th yc 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;lperform the work
in accordance with the approvet pians,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 pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use`
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WARNING TO OWNER:Yot r failure to Record a Notice of Commencement may result in your paying twice for
improvements to your prope A Notice of Commencement must be record poste a site
before the first ins 'on. If y n"Tt obtain financing,consult wit d r.an orney bef e
commenci r or re ol diii your N ce of Commencement.
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i of Owner essee/Con ctor as Agent for Owner ignature of Contractor/UcenselHlolde
STATE OF FLORA STATE OF FL �DA j I
COUNTy OF <J7 ' COUNTY 01F, /i=;C-
The for Ding instrument was a knowledged before me The forgoing Instrument wax acknowledged before me
this day of f- b 20 Eby this day ofr �Zt,t� ,20 ,j� by
(Name of person acknowledgin 0 (Name of person acknowledgin'
(Signature of -Sfi fe nf Finrld (Signat a oto Public-State of Florida
Personally Known 3,'o,► YP,- VID E FLIER PersonallyKn
rp�U�p�Y�n o ; s
r; , MYCaNfM�S81S ONF OMMISSION#`FF099550
Type of identificati Type of IdentsF,
o?: EXFiRES March 9, 2018
4P F� maran
Commission No (aw)298-0161Florldawavervice.com Commission A df07)998•ata3 FlorldallotaryS &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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