HomeMy WebLinkAboutBuilding Permit Application . ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f�
Date: n as / Permit Number: g V�— C7 (a �� ';'
COUNTY
F LO R In sk
Building Permit Application p
Planning and Development Services MAR 2 3 2018
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: 8404 Gallberry Circle, Pt St Lucie FL 34952
Legal Description: 8404 Gallberry Circle, Savanna Club Plat Three BLK 25 LOT 10(OR 861-734;3782-1.045)
Property Tax ID#: 3425-703-0220-000-0 Lot No.10
Site Plan Name: Block No. 25
Project Name: Henry Maursey
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove Existing Shingle Intsall 2 Maxim SF Polycarbonate Skylights
Install Soprema Resisto Underlayment Install Tamko Heritage Shingles i
Install Lomanco Ridge Vent Mfr Home
3/12 Pitch
CONSTRUCTION INFORMATION: "
Additional work to be ertormed under this permit–check all that apply:
CIHVAC Gas Tank nGas Piping _Shutters Q Windows/Doors
ElElectric0 Plumbing Sprinklers 0 Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1600 S . Ft.of First Floor:
Cost of Construction:$ 7875.00 Utilities: Sewer E1Septic Building Height: 13
OWNER/LESSEE:'! CONTRACTOR: .
Name Henry Maursey Name: Joshua Schroeder
Address:8404 Galberry Circle Company: Marzo Roofing Inc
City: Pt St Lucie State:FL Address: 861 A-SW Lakehurst Drive
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No.772-708-2727 Zip Code: 34983 Fax: 772-465-8829 '1
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.
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- 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:
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. 1 .i s,the Florit. ;uilding Codes and St.Lucie County Ame t me ts.
..-
The following building pert, appli ation •t re exem•it from undergoing a full concurrene+ revie ,. room additkns,
accessory structures,s • mming ptols, ences,wall:,signs,screen rooms and accesso, uses to •nother non eside ial use
WARNING TO 0-' NER:Vo r fa lure to Record a Notice of Commence -nt may r; ult in yo payin: twice for
improveme s to your property. , of e of Commencement mu ,' .e recoroed and p)sted 0' the jobsite
before th, irst inspeclon. If you int; : o obtain financing, co cult with I- der or an attorpey before
coma); cing work o ecordin: o,r Notic- of Commenceme p .
, lopp Alt 111111.
7011. •.tire of Owner/Lessee/Contractor as Agent for Owner I:rirtiu e of Contractor/License Holder ---
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF \ .4 LACI t COUNTY OF ,c7--Ztte/Pe
The forgoing instrument was acknowledgedAefore me The forgoing instrument was acknowledged before me
thisia day of trim-- , 20 itr by this, 0 day of MA-9-6,-. ,20 I ' by
(Name of person acknowledging) (Name of person acknowledging)
i' /1 -f Vfv4MIXSA-11;
Signature of Notary Pub• -State of Florida) S gnature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known ‘-'7 OR Produced Identification
Type of Identification Producece,.... „dweiajype of
4;:ic wi;;„. LISA MARIE MONTELEON . . ,.. , USA MARIE moNTELS
E4 14
Commission No. fse•:-.--, ($2a14,/Public-State of Florida ' ornn1ISSIOrleY9'.;,.. {ir.-
Notary Puhlir-State of
Commission#GG 190497 , d ,:., 43V Commission#GO f9649i
Il 07;,..P My Comm.Expires Feb 27.2022 P l' .1.` i'.. Af Comm Exrtiir4s,kil517,2 ,
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4 ' - Bonded' through rvational Notary Assn, ‘tglithlomrsramp fouclialithsSri 1
Revised 07/15/2014
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