HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
Building Permit Application
Planning and Development Services MAR 16 1018
Building and Code Regulation Division Permitting De a
2300 Virginia Avenue, Fort Pierce FL 34982 P rt
�t. Lucre Coup,.
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 8494 LABELIA COURT
Legal Description: SAVANNAH CLUB PLAT 3 BLK 21 LOT 27
Property Tax ID#: 3425-703-0073-000-4 Lot No.27
Site Plan Name: Block No. 21
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF INSTALL PEEL N STICK AND TAMKO SHINGLES. REPLACE 4 2X2 SKYLIGHTS
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a apply:
1_1HVAC E]Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator F Roof 2 Roof pitch
Total Sq. Ft of Construction: 1932 S . Ft. of First Floor:
Cost of Construction:$ 7,200.00 Utilities:Sewer 0 Septic Building Height: 1
OWNER/LESSEE: CONTRACTOR:
Name 'MeS G UC'�AName: opt
Addres : LIGy o. `'A bl/��� Company: TREASURE COAST ROO ING
City: Cit S� Lu CSG State:L Address: 1816 SW BILTMORE STREET
Zip Code: " .q� Fax: City: State:FL
Phone No. -7 7a —y Q3 Zip Code: 34984 Fax: 772-343-8358
E-Mail: 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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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:
Address: 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.
1 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.
Signature of Owner/Les /Con c r as Agent for Owner Signature of Contracto ense old
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LCUIE COUNTY OF ST LUCIE
The f going instru nt wai acknowledged before me The fo oing instru ent was acknowledged before me
this day of 0\5' IV I 20�by this day of V-1 20 J19 by
BRIAN J MALONEY BRIAN J MALONEY
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identifica ' Type of Identifiation
Produced Produced
(Signatu N Public-Sta r' a (Si of Notary Public d
G,I7(o47a GSI-7(og'7a+ •"".�",, 0BERT BRUNKE
may+, '"� al ROBERT BRUN comm' ion No. +P.� `�:
Commission No. : �lotary PWtµ�.Stag f Florida s � � ublic-State of Flor d
` Commiaalon I GG 76912 y y ,�'° Commission#GG 17697
'e ,'� MY Comm.Expires %;;�a F� o• MY Comm.Expires may 12 2 2
'���" . n dthrough National olary ASS n roug Nationai Nolary A sn
REVIEWS FRONT ZO N VEGETATION SEA TURTL
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17