HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
51•
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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_PROPOSEDIPROUEME}NTLC?C'ATIONxm
Address: 2200 Tilton Rd, Port St Lucie, FL 34952
Legal Description: 2200 Tilton Rd,ST Lucie Gardens
23 36 40 BLK 1 E 1/2 OF LOT 16-LESS RD RM (4.70AC)(MAP34/23N)
Property Tax ID #: 3414-501-0517-000-5 Lot No. 16
Site Plan Name: Block No. 1 E
Project Name: Lori Davis
Setbacks Front Back: Right Side: Left Side:
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Remove Existing Shingle 2 Story Roof 1st 5/12 Pitch
Install Soprema Resisto Underlayment FL2569-R14 2nd 8/12 Pitch
Install Lomanco Ridgevent FL2847-R9
Install Owens Corninq Shin les FL10674-R13
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CONSTR3UCTalON F�;I MsNTI
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Additionalwork to be nertormed unclertnis permit — cneCK all that appy:
❑HVAC LJj Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator Roof 8/12 Roof pitch
Total Sq. Ft of Construction: 3900 Sq.
of First Floor:
Cost of Construction: $ 18185.00 Utilities: LJ Sewer ❑ Septic Building Height: 26
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Name Lori Davis Name: Joshua Schroeder
Address: 2200 Tilton Rd 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. 772-475-1110 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.
SUPPLEI l NTAL CO:NSTRUCTION". LI,LN LAW INFORMATION:
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 ts.
The following building per appli ation re exem t from undergoing a fuJ
vie . room additi ns,
accessory structures, s mming p oils, ences, wall , signs, screen rooms anto nother non esiden ial use
WARNING TO NER: Yo r fa lure to Re ord a Notice of Commeult in yo payin twice for
improveme s to your pr perty. of a of Commencement d and p sted o the jobsite
before th irst inspect" n. If you int o obtain financing, coer or an attor ey before
comm cing work o ecordin o r Notic of Commenceme
of
STATE OF FLO�QA
COUNTY OF r
as Agent for Owner
The forgoing instrument was acknowledged fore me
this 1T day of I9-�p� i L_ 20 _jby
s
cense tioiaer
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this � day of i�%�- , 20 by
1
(Name of person acknowledging) (Name of person acknowledging)
ature of Notary PubX State of Florida )
Personally Known '.101 OR Produced Identification
Type of Identification Produced
R LISA MARIE MONTELEONE
(Smakl Public - State of Florida
Commission 4 GG 190497
My Comm. Expires Feb 27,202;
Commission No.
Revised 07/15/2014
REVIEWS FRONT
COUNTER
DATE
COMPLETE
INITIALS
( gnature of Notary Public- State of Florida )
Personally Known d'"%OR Produced Identification
7Voe of Ider ifit �kaJ'ou-Pl;pd d
R
ZONING SUPERVISOR I PLANS
REVIEW I REVIEW REVIEW
LISA MARIE MONT5LI
=_ No ary P ihlir - State of
Commission # GO VO,
VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW
PERMIT #:
STATE OF FLORIDA
NOTICE OF COMMENCEMENT
To be completed when construction value exceeds $2,500.00
TAX FOLIO # 3414-501-0517-000-5
COUNTY ORS J_ 1_[C4&
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):
2200 Tilton Rd ST LUCIE GARDENS 23 36 40 BLK 1 E 1/2 OF LOT 16 -LESS RD R/W-(4.70AC)(MAP 34/23N)
GENERAL DESCRIPTION OF IMPROVEMENT: REROOF
OWNER INFORMATION OR LESSEE INFORMATION, IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name: Kenneth Davis or Lori Davis
Address: 2200 Tilton Rd Port St. Lucie, FL 34952
Interest in property: RESIDENCE
Name and address of fee simple title holder (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):
Name and address:
Phone No.: Bond
LENDER'S NAME:
Address:
No.:
Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13
(1) (a) 7, Florida Statutes:
Name: _
Address:
In addition to himself or herself, owner designates
receive a copy of the Lienor's Notice as provided in Section 713
Phone number of person or entity designated by Owner:
13(1)(b), Florida Statues.
Expiration 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
recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713 PART I SECTION 713.13 FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under pppalty of perju I delclare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief.
SignaWr of Owr�_eraflessee,�or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/Attorney-in-fact
o w t D -c
Signatory's Title/Office
The foregoing instrument was acknowledged before me this day of20Ju
By: L -Ci iz. ,-Y)A -V l5 as (-W for
for
Name of person Type of authority (e.g. officer, trustee)
Party on behalf of whom instrument was executed
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Personally known 0 or produced identification ❑
otary's Signature Type of identificatio d e
LISA MARIE MONTELEONE
(Print, Type, or Stamp Commissioned Name of Notary)e°. Notary Public -State of Florida
Commission f GG 190497
T:\BLD\Bldg_Forms\New Applications\Forms\Notice Of Commencement. Docx qo My Comm. Expires Feb V,2022 Rev, 9/15/11
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