HomeMy WebLinkAboutBuilding Permit ApplicationALL 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
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Address: 492 Hemingway Terrace F-10, Fort Pierce FL 34982
Legal Description: 492 Hemingway Terrace, Tropical Isles (OR 2786-2163) Unit F-10
Property Tax ID #: 3410-508-0132-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Gary Miller
Setbacks Front Back: Right Side: Left Side:
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Remove Existing Shingle Install Tamko Heritage Shingles
Install Soprema Resisto Underlayment MFR Home
Install Lomanco Ridge Vent
2/12 Pitch
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CONvTRUCTIO,N %INFORMATI01�I �� . -
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Additionalwork to b
(rtormed under this permit —check all that. appy:
HVAC IJ Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
11 Electric Plumbing Sprinklers 0 Generator Roof 2/12 Roof pitch
Total Sq. Ft of Construction: 1500 S Ft. of First Floor:
Cost of Construction: $ 6450.00 Utilities: Sewer F]Septic Building Height: 13
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OmUSINR�LESEE� �� .�COIT C1OR.�. .
1 a. '. MAIN%w
Name Gary Miller Name: Joshua Schroeder
Address: 492 Hemingway Terrace Company: Marzo Roofing Inc
City: Ft Pierce State: FL Address: 861 A -SW Lakehurst Drive
Zip Code: 34982 Fax: City: Port St Lucie State: FL
Phone No. 585-259-3330 Zip Code: 34983 Fax: 772-465-8829
E -Mail: Phone No. 772-871-2489
Fill in fee simple Title Holder on next page ( if different E -Mail: marzoroofinginc@gmail.com
from the Owner listed above) State or County License: CCC -1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPP'LEMENTALCONSTRU° 1p',N;LI.EN. LAW INF .".I. AT[OW
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all resp ts, perform the work
in accordance with the approve s, the Flori uilding Codes and St. Lucie County Ame me its
The following building per appli ation re exem t from undergoing a full/accessouses
vie .roomK
accessory structures, s mming p ols, ences, wall , signs, screen rooms andto notheral use
WARNING TO NER: Yor fa lure to Re ord a Notice of Commenult in yice for
improveme stoyourpr perty. ot" a of Commencement md and p jobsite
before th irst inspectn. If you int o obtain financing, co er or an fore
comm ting work ofrfecordin vo r Notic of Commenceme
re of Owner
as Agent for Owner
irs
STATE OF FLOPJ.QAICOUNTYOF
STATE OF FLORIDA C
COUNTY OF `� Lc.�ct' l �' i) �' ZU64,e
The f r oing instr ent�knowledged before me
this day of 20 t o
1
(Name of person acknowledging)
Fe of Notary PubX- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
LISA MARIE MONTELEONE
($j a& Public - State of Florida
Commission x GG 190497
My Comm. Expires Feb 27, 2022
Commission No.
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this � ( day of ®6� 20 � by
(Name of person acknowledging)
<sIgnature of Notary Public- State of Florida )
Personally Known 61"" OR Produced Identification
hype of Ider>Xif'�ar'o Produced
' LISA MARIE MONT9L15CJ�i�
iT\ i -State 0�Ib
Commmississioon # CGO1`4FY49Y
My COMM, .ffxpt N's*dti4/, Y621
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
PERMIT #:
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE # 4403876 02/21/2018 01:49:37 PM
OR BOOK 4099 PAGE 2997 - 2997 Doc Type: NC
RECORDING: $10.00
NOTICE OF COMMENCEMENT
To be completed when construction value exceeds $2,500.00
TAX FOLIO # 3410-508-0132-000-1
STATE OF FLORIDA COUNTY OF(Z$ I•LitY_r`y
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida
Statutes, the following information is provided in this Notice of Commencement.
LEGAL DESCRIPTION OF PROPERTY (AND STREET ADDRESS, IF AVAILABLE):
492 Hemingway Terrace TROPICAL ISLES (OR 2786-2163) UNIT F-10
GENERAL DESCRIPTION OF IMPROVEMENT: REROOF
OWNER INFORMATION OR LESSEE INFORMATION, IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name: Gary Miller or Patricia Miller
Address: 492 Hemingway Terrace F-10 Fort Pierce FL 34982
Interest in property: RESIDENCE
Name and address of fee simple titleholder (If different from Owner listed above):
CONTRACTOR'S NAME: MARZO,ROOFING, INC. Phone No.: (772) 871-2489
Address: 861 A- SW LAKEHURST DRIVE ,PORT SAINT LUCIE FL. 34983
SURETY COMPANY (If applicable, a copy of the payment bond is attached):
rxImmo -1 —Mr—
Phone No.: Bond am
LENDER'S NAME:
Address:
hone No.:
Persons within the State of Florida designated by owner upon Wham notices or'other documents may be served as provided by Section 713.13
(1) (a) 7. Florida Statutes:
Name: Phone No.:
Address:
z- 77771,-t
In addition to himself or herself,owner designates` of tc
receive a coQy of the Lienor s Notice as provided m'SectiOn 713 13(1)(0) Florida Statues.
Phone nu'rm er of person or-entitydesignated by-Owner:
Ezpvatton date of Notice of Commencement - - -
(the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 year from the date of
recortlmg unless a different date is specified):
INSPECTION: IF YOU -INTEND TO -OBTAIN -FINANCING -CONSUL -T -WITH YOUR LENDER-ORAN-ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF.COMMENCEMENT,,:
Under enalty of perjury I 1.declare that 1 have read the foregoing'.
and that the -facts in it are true -to the -best -of my knowledge and belief.
Signature f Ow er or Lessee; or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/Attorney-in-fact-
Signatory's'Tttle/Office
The foregoing instrument was acknowledged before me this day of ��Wr `'1 . 20
g g ... �.
By'�_ t � cam. `\ , .
�.f� as i%� 1f . for
Na of of perso Type of authority (e.g. officer, trustee) Party on, behalf of whom instrument was executed
Personally known m or produced identification ❑
Nry
ota's Signature' " Type of identification 'roduced —DAVID VANDEI -
.•
(Print Type,'or Stamp Commissioned Name of Notary)jR
MY COMMISSION #,`FF099550
T:1BLD\Bldg Forms\NewApplicattons�Fprms\Notice Of CommencementDocx ti'fepFF e EXF?IRES,March 9; 2018
Rev. 9/15/11
T, , ii± t 6 (407) 398-0153 FloridallotaryService.com