HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLEI�I�MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11// I� Permit Number: 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 Residlential x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION: '
Address: 3020 Indigo Bunting Ct j
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Legal Description: 3020 Indigo Bunting Ct, Eagle's Retreat at Savanna Club(PB 42-24) BLK 57 LOT 6
Property Tax ID#: 3424-701-0069-000-4 Lot No.6
Site Plan Name: Block No. 57
Project Name: Kenneth Smalley
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Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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Remove Existing Shingle 2 Polycarbo e'Solar Tube Dome Only
Install Soprema Resisto Underlayment Loma RV
Install IKO Cambridge Shingles ufactured Home
2/12 Pitch
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit—check all appy: l
HVAC Gas Tank Gas Piping _Shutters YI Windows/Doors
Electric 0 Plumbing Sprinklers ❑Generator YU Roof 2/12 Roof pitch
Total Sq. Ft of Construction: 2800 S Ft. of First Floor:
Cost of Construction:$ 11,675.00 Utilities:Sewer 0Septic Building Height: 13
OWNER/LESSEE: CONTRACTOR:
Name Kenneth Smalley Name: Joshua Schroeder
Address:3020 Indigo Bunting Ct Company: Marzo Roofing Inc
City: Port St Lucie State:FL Address: 861 A-SW Lakehurjst Drive
Zip Code: 34952 Fax: City: Port St Lucie it State:FL
Phone No.772-878-9478 Zip Code: 34983 Fax: 772-465-8829
E-Mail: Phone No. 772-871-2489 T
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: CCC-1331207
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. !
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: ' Not Applicable
Name:
Name:
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Address: Address: i.!
City: State: City:
State:
Zip: Phone: Zip: Phone: iii
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City: it
Zip: Phone: Zip: Phone: Ill
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 Nome 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,wails,signs,screen rooms and accessory uses to another non-residential use
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WARNING TO OWNER:Your failure to Record a Notice of Commencement may resultin your paying twice for
improvements to your property.A Notice of Commencement must be record poste e J site
before the first ins on. If yo end t obtain financing,consult wit d Fan orney be e
commenci rk or re or ' R Your NQVce of Commencement. i
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i of Owner essee/Contractor as Agent for Owner -Signature of Contractor/License'Holde
STATE OF FLORIDA STATE OF FLORIDA .
COUNTY OF T &Uci '{,. COUNTY OF ST 1,a( it
The forgoing instrument was acknowledged before me The forgoing instrument,was acknowledged before me
this day of 1)L'-fV be 1L.-- , 20 aby this // day of 20 /7 by
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(Nameof person acknowle gin (Name of person acknowledging)
(Signatur of Nota -Statp nf Florida
�+ ryry (Signa ur of Notarr r P ic-State of Florida)
=•n4�Y.....X, VII] I. IFL.IEfL ••,q.L.4 pve„•M f �
Personally Known =�t Ci� �r1ici�O Personally Krt yam;'�t �d�i � bn
Type of identificati n,, Type of Identi i ` tQ jd �MMISSION#FF099550
"•'0oatpe”' EXPIR S marcri °re ••••^oP EXPIRES March 9, 2018
Commission No. (4V/I -016a Florida ervice.com Commission o7t ase U16 F.,foridallotaryS # m
Revised 47/15/2014 !
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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