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/
/ Ail APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED VDLI
Date: Lf`2t2 / Permit Number: l -C)( 7
,.,_ _ ,,, ,•,,''''''7...m-77
COUNTY
FLORIDA R I D A RECEIVED
wonBuilding Permit Applicatio
Planning and Development Services APR �i 2018
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST' Lucie County, Permitting
Phone:(772)462-1553 Fax:(772)462-1578 Commercial ... .. Residentia -
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PERMIT APPLICATION FOR: 'Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 91137 fa//vciqA,A. 0* / At/ iii-ce-c- ,t/ 3‘.69 1
Legal Description: Meadowood unit 1,LT40(19 ac)or 1013-1371-1393-958
9i
Property Tax ID U: ,/3324-8881842-20131". 1334. 50 3 • 117'Z' -f 2• D
4CLoat No 4G"
Site Plan Name: Block No. 1
Project Name: Gregory Gifford
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing roof covering,Tiles with underlayment. Install 24 Gauge 1 inch Snapmax standing
seam metal system. Install rubber SWR underlayment. 1
CONSTRUCTION INFORMATION:.
Additional work to be erformed under this permit-check all:hati
apply:
HVAC Gas Tank OGas Piping Q Windows/Doors
ElElectric 0 Plumbing Sprinklers 0 Generator I I Roof 5/12 Roof pitch
Total Sq.Ft of Construction: 3831 S Ft.of First Floor: 1993
Cost of Construction:$ 31,000.00 Utilities: Sewer USeptic Building Height:
OWNER/LESSEE: /1/1 n .7CONTRACTOR:
Name gr o•y �r A'L' / I0ys'/�-$
e ' �4si-Name: a/6'5 4,./ .��
S e Apostolopoolous and Paulick const
Address: �/3 77 /Nc,�,..� Company: AP P
City: ffoe-A i{^�- - State`. / Address:pp3425 SW 78th Ave
Zip Code: Fax: City: //�/wj?vX State:FL
Phone No. Zip Code: 34990 Fax:
I
E-Mail:. . . _ Phone No. 772-2-Ga -S7S3
Fill in fee simple Title Holder on next page(if different E-Mail: L'oc`i,""A-,/' r 4,,s c.-5, o,/,oma.
from the Owner listed above) State or County License: CC C ,3 S .
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
G.,
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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:
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 restrictuc
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 o an attorney •efore
commencin: work or recordin: our Notice of Commencement.
qq. le
'i t ��
Sign.ire o•Owner/Less-if o• ractor as Agent for Owner,/
10/11ature , tractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF S>¢!e1- Le-tc-/r COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this /'j day of Peet."we. ,,20r7 by this Ve day of/AA,/ ,20,22 by
6 rC.OJaPGi *P co, Or Namemakingstatement
Name of person making statement person
Personally Known G.------OR Produced Identification Personally Known L—ORProduced Identification
Type of Identification Type of Identification
Produced Produced
41 ' .."1117::;‘,„...-
r"� RICKY CARL COCHRAN
�.ti�; Nolary Publio. State of Florida
�_., _ ,. ,(;172136 ;.`�.v.,b••. RICKY �O(:HRAN
(Signature of Notary • ' irr ;' , d6xpires Apr 26,2022 (Signature of Notaii •%��• to f I?Itliid54te of Florida
Fo ,� ' gpnded though Nahonal NolaryAssu• ' • ` •I Commission#GG 172136
Commission No. Commission No.• FIFA ovi M Comm.Ex u Az 6,2022
—m—BeniedthroughNa' i ityAssn.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17