HomeMy WebLinkAboutBuilding Permit Application I I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED! p� r
Date: 2/2/16 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division i
2300 Virginia Avenue,Fort Pierce FL 34982 "
Phone: (772)462-1553 Fax: (772)462-1578 Commercial I Residential x
PERMIT APPLICATION FOR: Roof
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PROPOSED,IIVIPROVEIVIENl LOCATION
7949 HORNED LARK
Address: I
Legal Description: EAGLES RETREAT AT SAVANNA CLUB PHASE 1 BLK 61 ILOT 113
Property Tax ID#: 3424-702-0110-000-0 Lot No.
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Site Plan Name: ! Block No. 61
Project Name: I
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION`OF WORK:
TEAR OFF EXISTING ROOF INSTALL PEEL N STICK UNDERLAYMENT AND TAMKO SHINGLES. ROOF IS 3/12 PITCH
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CONSTR`UCTIDN INFORMATION:-
,Additional
NFORMATION itiona work to be nertormed under this permit—check all that appy: I r
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HVAC _Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
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Total Sq. Ft of Construction: 1750 Sq. Ft.of First Floor: i
Cost of Construction:$ 6,000.00 Utilities: _Sewer F—]Selptic Building Height: 1
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OWNERAESSEE: : . .CONTRACTOR
Name ROGER MISTLER Name: BRIAN J MALI ONEY
Address:7949 HORNED LARK Company: TREASURE COAST ROOFING
City- FORT PIERCEState:FL Address: 1816 SW BILTMORE
,Zip Code: 34952 Fax:N/A City: PORT ST LUCIE ;f State:FL
Phone No. 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: CCC1330653
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If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not ApplicableMORTGAGE COMPANY: i _Not Applicable
Name: Name: I
Address: Address:
City: State: City: I' State:
Zip: Phone: Zip: Phone: I
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: I' _Not Applicable
Name: Name: i
Address: Address:
City: City: I
Zip: Phone: Zip: Phone: I
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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 per mit 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,i 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: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 w or ripcordingyour Notice of Commencement.
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-Signature o er/L /A nt Signature of Con rac o' Lic se Ho
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
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The forg ing instrumen fas acknowledged efore me The for ing instrumen s acknowledged before me
:this day of 20 f�y this_day of .20 '/by
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BRIAN J MALONEY BRIAN J MALONEY
(Nameof perso c I dging) (Name of per s wledging)
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(SignarlAlury Public-State of Florida) (Sign a OfNotary Public-State of Florida)
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Personally Known X OR Produced,,ideidtifitation Personally Known X I OR;Produced Identification
Type of Identification Produced �`�3 gER7 FR(f;,',''3: Type of Identification Produced
qy� 11SSION�
(Commission No. _ °� c11�2p'fAc�a Commission No. ;. (Seal)
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INITIALS
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