HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date:�1r01 Nk Permit Number:
_'�_�J 9 Z J I' RECEIVED
Building Permit Applica ion MAY . 6 X018
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�'�YvN 1t S
PROPOSED IMPROVEMENT LOCATION:
Address: 7925 HORNED LARK CIRCLE
Legal Description: EAGLES RETREAT AT SAVANNA CLUB PHASE 2
Property Tax ID#: 3424-702-0104-000-5 Lot No.
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 toe e orme under this permit-check a appy:
HVAC 11 Gas Tank 0Gas Piping Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 3625 Sq. Ft.of First Floor:
Cost of Construction: $ 10,400.00 Utilities:I Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Gl nC e C LX VomName: 'r)
Address: C? ccw IC C>Z Company: TREASURE COAST ROOFING
City: 9Su _ State.- - Address: 1816 SW BILTMORE STREET
Zip Code: 3 Fax: City: k� State:FL
Phone No. 33q X24 -10-50 Zip Code: 34984 Fax: 772-343-8358
E-Mail: l^J � `� 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:
Address: 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/ se Co ractor as Agent for Owner Signature of Contracto cense der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLCUIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forping instrument was acknowledged before me
this IS day of 0A A ,20 IQ by this day of VY� ,20 « by
BRIAN J MALONEY BRIAN J MALONEY
Name of person making statement Name of person making statement
Personally Known x QR Produced Identification Personally Known x OR Produced Identification
Type of IdentificaY n Type of Identificati
Produced Produced
G
(Sign atur f No ubiic-State of Florida) (Signat of N to P blic-State of Florida)
Commission No. FF122 , „,, FF1224 � �P�i�
Commission No. T BRUNKE
+�' �=
Notary P 9EHT BRUNKE ;° Notary Public-
State of Florida
2022
Comb•atafe of Florida =,�a� ; Commission17 7
12,
m GG 69
WkiE
maY 12,2022
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MyComm,E area PLANS VEGETA ''I,� "•• ^dedthr ugh es
REVIEWS FR rough Ni a asn.
COUNTER REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17