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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services MAS ' 2��8
Building and Code Regulation Division permitting Dapartmgnt
2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie county
Phone: (772)462-1553 Fax: (772)462-1578 Commercial- Residential x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2 Tikal Lane, Pt St.Lucie FL 34952
Legal Description: 2 Tikal Lane, Pt St Lucie, FL 34952 Spanish Lakes River Front Manufactured Home
Property Tax ID#: 3427-111-0002-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Walter Holland
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORI<
Remove Existing Flat Roof Over Car Port Manufactured Home
Install Elastobase on Flat Roof Only
Install PolyGlass White Modified SAP
1/12 Pitch
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check a appy:
HVAC ,Gas Tank F]Gas Piping _Shutters ❑Windows/Doors
Electric ElPlumbing Sprinklers l Generator Roof 1/12 Roof pitch
Total Sq. Ft of Construction: 800 Sq. Ft.of First Floor:
Cost of Construction:$ 4250.00 Utilities:0Sewer Septic Building Height: 13
OWNERAESSEE: CONTRACTOR:
Name Sally Holland, Name: Joshua Schroeder
Address:2 Tikal Lane Company: Marzo Roofing Inc
City: Port St Lucie State:FL Address: 861 A-SW Lakehurst Drive
Zip Code: 34952 . Fax: City: Port St Lucie State.FL
Phone No.508-345-9886 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.
SUPPLEMENTAL CNONSTRUCTIOLIEN LAVU 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 thepermit 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 Buil Codes and St. Lucie County Amendments.
The following building permit applications are a pt from ndergoing a full concurrency review: room additions, ,
accessory structures,swimming pools,fenc ,walls,signs, Green rooms and accessory uses to an non-re ' ential use
WARNING TO OWN�' Irailu��&�Recorda otice of Commencement may result i a ' g twice for
improvements to yortNotice of ommencement must be record nd s on the job " e
before the firs pection. If o tend obtain financing, consult wi nder or torney twice
commenci work or recp1ding Vou ice of Commencement.
s
Signatu�&Qf Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY 01 COUNTY OF
The forgoing instrument was cknowledged before me The forgoing instrument was acknowledged fore me
this]`�day of 20 �by this day of MPJ 20 by
1
(Name o, erson acknowledging) (Name of person acknowledging)
(Si nature of NotaryPub' -State of Florida) ignature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced fpe of Ide if' a log,
P o c d
LISA MARIE MONTELEONE :;: LISA MARIE MONTELECJ�I�
���-. Public-Slate of FloridammlSslo 6%`.'f NotaryPublic-state oFE.
Commission No. °�. � : (5sai}� ,A Al
r
Commission#GG 190497 f Commission k Gds 49044
My Comm.Expires Feb 27,2022 >., M)f Comrn;.Ex�ir25 FAtS°27.2'b2f
Bon t roug a i ona' btai 5srt,,.
Revised 07/15/2014
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