HomeMy WebLinkAboutBUILDING PERMIT i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2/16 Permit Number:
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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
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PERMIT APPLICATION FOR: Roof
PROPOS',ED IIVII?ROVEIVIENT LOCATION:
Address: 6903 SEBASTIAN ROAD j
Legal Description: LAKEWOOD PARK UNIT 12 BLK 161 LOT 14
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Property Tax ID#: 1301-614-0132-000-6 ' Lot No.14
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Site Plan Name: ;; Block No. 161
Project Name:
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Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK 1
TEAR OFF EXISTING ROOF INSTALL PEEL N STICK UNDERLAYIMENT;AND TAMKO
SHINGLES. ROOF IS 3/12 PITCH AND FLAT ROOF WILL NOT BE REPLACED
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CONSTRUCTIGN'ANFORMATIO.N
Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator I Roof
Total Sq. Ft of Construction: 1977 S . Ft.of First Floor:!
ost of Construction:$ 8,500.00 Utilities: _Sewer 0 Septic Building Height: 1
OUVNER/LESSEE CONTRACTOR
Name SHANE LANGEL Name: BRIAN J MALONEY ,j
Address:6903 SEBASTIAN ROAD Company: TREASURE COAST ROOFING
(City: FORT PIERCE State:FL Address: 1816 SW'BILTMORE
IZip Code: 34951 Fax:N/A City: PORT ST LUCIE State:FL
Phone No.772-940-9742 Zip Code: 34984 j Fax: 772-343-8358
E-Mail:N/A Phone No. 772-370-9770
Fill in fee simple Title Holder on next page(if different E-Mail: TCROOFINGLLC@GMAIL.COM
;from the Owner listed above) State or County License: 6CC1330653
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN"LAW INFORMATION,:
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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: 1
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 our Notice of Commencement.
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Signature n sse A Signature of Contractor/ ' , Hol
STATE OF FLORIDq STATE OF FLORIDA
COUNTY OF COUNTY OF 1 LWCA
he fp{gging instrurpept wad acknowledgeAefore me The for oing instrument ''as acknowledged before me
this of (day of d/ `J 20 by this day of ' W!" 20 1 7 by
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(Name o:;7
ing) (Name of person ackn le )
(Signature ublic-State of Florida) (Signature of ry ic-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
ype of Identificati Produced Type of Identificatio Produced
a�`r��6 91 Eiifl,,rr�J
Commission No. w {j�1SSI0,�F•° Commission No. `e,°°p/�(� ,RrQR�,'p
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DATE
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INITIALS
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