HomeMy WebLinkAboutBuilding Permit Application I I"
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDi
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Date: 212/16 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 Residential x
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PERMIT APPLICATION FOR: Roof .i
P.RO,POSED IMPROVEMENT LOCATION
Address: 7950 HORNED LARK
Legal Description: EAGLES RETREAT AT SAVANNA CLUB PHASE 2 BLK 60 LOT 23
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Property Tax ID#: 3424-702-0090-000-3 Lot No.23
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Site Plan Name: i Block No. 60
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Plroject Name:
Setbacks Front Back: Right Side: Left Side:'
DETAILED DESCRIPTION'OF WORK.
TIIIIIIIIIIIIIIIIII
TEAR OFF EXISTING ROOF INSTALL PEEL N STICK UNDERLAYMENT AND TAMKO SHINGLES. ROOF IS 3/12 PITCH
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CONSTRUCTION INFORMATION. 'L �1
Additional work to be nprtormed under tispermit—check all appy: 1 0 i
ElHVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
1 0 Electric 0 Plumbing Sprinklers [Generator W1 Roof
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Total Sq. Ft of Construction: 1800 S . Ft.of First Floor:
Cost of Construction:$ 6,000.00 Utilities: _Sewer H Septic Building Height: 1
OWNER/LESSEE :CONTRACTOR
Name BARBARA MOELLER Name: BRIAN J MALONEY
Address:7950 HORNED LARK Company: TREASURE COAST ROOFING
City: FORT PIERCE State:FL Address: 1816 SW BILTMC►RE
'Zip Code: 34952 Fax:N/A City: PORT ST LUGIE I State:FL
Phone No. Zip Code: 34984 j I Fak. 772-343-8358
JE-Mail:N/A Phone No. 772-370,'-9770 I I
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: 6,CCI
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN-LAW INFORMATION: I!
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address: i
City: State: City: ! I State:
Zip: Phone: Zip: Phone: I:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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.
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St. Lucie County makes no representation that is granting a permit will authorize the permit holderI;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 concurrency1review 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 a'n'd posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin or-recording our Notice of Commencement.
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_Signature o wn L see/ gent Signature of Contracto Li se Hold
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE! ;
The f9rgping instrur n was acknowledgeefore me The fqr Ing instrumOlt
s alcknowledged fore me
this day of G 20�: by this f1day of ��20 i 7by
BRIAN J MALONEY BRIAN J MALONEY
(Name of person ack ow d ' g) (Name of perso owledging) 1
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(Signature of ub' tate of Florida) (Signat of Notary Public-State of Florida)
Personally Known X OR Prod uce¢adentification Personally Known X OR,Produced Identification
Type of Identification Prod ucedW'" RT Type of Identification Produced
Commission No. � �c,��ay 12 �Q)_° Commission No.
Zo #FF 122434 ` �aY ?`'o Ffo°;
Revised 07/15/2014 '�9';�onB��dedthN.,s m m e _e
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REVIEWS FRONT z6h'mok ' SUPERVISOR PLANS VEGETATION NGROVE
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COUNTER REVIEW REVIEW REVIEW REVIEW '='.e ;V ,tlkLc,�*`REVIEW
DATE
COMPLETE f, I
INITIALS
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