HomeMy WebLinkAboutBuilding Permit ApplcationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Add re SS: 7656 REQ CROSSBILL COURT
Address:
City: State:
Zip: Phone
City: State:.
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 1616 SW BILTMORE STREET
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated"
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 your Notice of Commencement.
Rev. 8/2/17
Signature of r/ Le
/Co tr for as Agent for Owner
Signature of Contras or/Lice se Hold r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFST LCUIE
COUNTY OF-LUCIE
The fopming instrul
t was acknowledged before me
The forgoing instrume t was acknowledged before me
this day of
20�[& by
this day of 20_ by
BRIAN J MALONEY
BRIAN J MALONEY
Name of person making statement
game of person making statement
Personally Known x
OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
g3t1':V�r4titiP;
(Signature lis- State ofFTorida
(Signatur ota ic- Stateof F,l��:"°
``\�Y 12
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Commission No. FF122434 (Seal) '� � _
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Commission No. FF122434 _ o s al ?n
r 122434 ZZ
REVIEWS
FRONT
ZONING
'SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
IVIiPfGR�OVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
•
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
PROPOSED IMPROVEMENT LOCATION:
Address: 7658 RED CROSSBILL COURT
Legal Description: FAIRWAYS AAT SAVANNAH CLU REPLAT #1 BLK fib LOT4
Property Tax ID #: 3424-800-0046-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.4
Block No. 68
TEAR OFF EXISTING ROOF INSTALL PEEL N STICK UNDERLAYMENT AND TAMKO SHINGLES
CONSTRUCTION INFORMATION:
Adclitional work to be performed under tispermit-check all tn appy:
HVAC Gas Tank Gas Piping M
Shutters Windws/DoorsElectric Plumbing Sprinklers Generator � Roof Roof pitch
Total Sq. Ft of Construction: 2588
Cost of Construction: $ 8,000.00
SFt. of First Floor: _
Utilities:n Sewer 11 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Vol I ec; e. R-"ef
Name:
Address: 7'(,�� d cr cam! 41 (a-z'h
Company: TREASURE COAST ROOFING
City: PJL State:t'L
Zip Code: 314 oSc% Fax:
Phone No. ?a (a � I - Z 431
Address: 1816 SW BILTMORE STREET
City: State: FL
Zip Code: 34984 Fax: 772-343-8358
Phone No. 772-370-9770
E -Mail: IL) 1i�
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: TCROOFINGLLC@GMAIL.COM
State or County License: CCC1330653
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.