HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5\ 1 �� Permit Number:
RECEIVED
Building Permit Applicati MAY 01 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof s�n
PROPOSED IMPROVEMENT LOCATION:
Address: 11670 TWIN CREEK DRIVE
Legal Description: TWIN CREEKS I LOT 9
Property Tax ID#: 2333-601-009-000-7 Lot No.9
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF INSTALL PEEL N STICK UNDERLAYMENT AND TAMKO SHINGLES
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit—check a apply:
HVAC 11 Gas Tank 0Gas Piping 0 Shutters Q Windows/Doors
aElectric 0 Plumbing Sprinklers E Generator 1:1 Roof 512 Roof pitch
Total Sq. Ft of Construction: 3690 S . Ft.of First Floor:
Cost of Construction:$ 15,500 Utilities: Sewer Septic Building Height: 1
OWNER/LESSEE: CONTRACTOR:
Name &JQ cboan a s Name:
Address: k6—'76 1 % G 2 t\c O(2 Company: TREASURE COAST ROOFING
City: State:_ Address: 1816 SW BILTMORE STREET
Zip Code: LA Fax: City: V,rN( _ State:FL
Phone No. 7 a " 281 — Z 6�`� Zip Code: 34984 Fax: 772-343-8358
E-Mail: tn1 t 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$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Add res$: 11670 TWIN CREEK DRIVE Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:1816 SW BILTMORE STREET 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.
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 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 sse ontractor as Agent for Owner Signature of Contract Lice older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LOUIE COUNTY OF STLUCIE
The fo going instrument was acknowledge before me The forgoing instrumen�wa�acknowledge before me
this J day of 20� by this_L day of V� 2(A) 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 Identificatio Type of Identification
Produced Produced
(Signature#Itdtary u lic- a�2spf'florida) ROBERTBRUhKE Signature o of Pu ic,A!atee,o o
Notary Public-State o`Florca %' '• Notary p ERT 8R(eNKE
Commission No. FF122434 '_% • '_�$ mission=GG 7gc7L OmmIs510n NO. FF1224 ' ea o`FI
: tv Comm.Expires play 12.2132 �61y Comm. 7.,.orica
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Eonded:hrouah Naicna,Nc:ar,A,sr 6onded;hExpires h1a'/12 2022
rou9hNa:iena Nc:=-,Assn
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17