HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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: To Select from dropbox, click arrow at the end of line
PRO'
POSEDMPROUEME,NTOC�4TION
Address: 514 Hemingway Terrace, Fort Pierce, FL 34982
Legal Description: Tropical Isles (OR 2786-2163) Unit -05
Property Tax ID #: 3410-508-0127-000-3
Site Plan Name:
Project Name: JOYCE KVIST
Setbacks Front Back:
Right Side:
REMOVE EXISTING SHINGLE
INSTALL TRI -BUILT UNDERLAYMENT FL 16048-R6
INSTALL RIDGE VENT LOMANCO FL 2847-139
INSTALL TAMKO HERRITAGE SHINGLES FL 18355-R4
E] HVAC u Gas Tank
11 Electric ❑ Plumbing
Total Sq. Ft of Construction: 1700
Cost of Construction: $ 7345.00
❑ Sprinklers
Left Side:
3/12 PITCH
MRF HOME
Generator
Lot No._
Block No.
Windows/Doors
Roof 3/12 Roof pitch
S Ft. of First Floor:
Utilities:Sewer[]Septic Building Height: 1 story
01NNER'/LESSEEr °'f
CON�'jRA OR fla
Name JOYCE KVIST
Name: JOSHUA SCHROEDER
Address: 514 HEMINGWAY TERR F-05
Company: MARZO ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 860-213-0200
Address: 861 SW LAKEHURST DR.
City: PORT SAINT LUCIE State: FL
Zip Code: 34983 Fax:
Phone No. 772-871-0952
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail:
State or County License: CCC1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is regwrea.
SUPPLEMENTAL C0NS�'�t'U'CTTIPl LIEN. LAIN IN�ORIUTATI;�71�1:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip- Phone -
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which
ure. Please consult withpyour Home Owners Association and review your deed for any restrictions which which m y apply prohibit such
Inconsideration of the granting of this requested permit, 1 do hereby agree that I will, in all resp ts, perform the work
in accordance with the approve s, the Flori uilding Codes and St. Lucie County Ame me ts.
The following building per appli at ion re exem t from undergoing a full concurren revie . room additi ns,
accessory structures, s mming p ols, ences, wall , signs, screen rooms and accesso uses to nother non esiden ial use
WARNING TO NER: Yo r fa lure to Re ord a Notice of Commence nt may r ult in yo payin twice for
improveme s to your pr perty. of a of Commencement mu a recor d and p sted o the jobsite
before th first inspect' n. If you int o obtain financing, co ult with I der or an attor ey before
rnirnme4cina work orirecordin o r Notic of Commenceme
Of
STATE OF FLOI�IQA,
COUNTY OF
as Agent for Owner
The for oing instrument was acknowledged before me
this day of ' J CLt0C , 20 .1�_by
(Name of person acknowledging)
i
S' nature of Notary Pub = 5tate of Florida )
Personally Known OR Produced Identification
Type of Identification Produced-�=�
LISA MARIE MONTELEONE
Commission No. }1 @` ($Mak�/Public-state of Florida
�� Commission x GG 190497
e;: My Comm. Expires Feb 27. 20Z
Revised 07/15/2014
REVIEWS
DATE
COMPLETE
INITIALS
Contractor/License Ho
STATE OF FLORIDA �.,�, ���� -
COUNTY OF
The forgoing instrument was acknowledged before me
Ji
this __ i day of J (xkJ -Q , 20 %x by
person acknowledging)
(Siatureo Notary Public -'state of Florida )
Personally Known OR Produced Identification
Tvpe of Ide if' a 'o P o c d
LISA MARIE MONTIwLIi li
ptary Public -State Of AMP'
Commission # W 1i0644i
WCwmrom.ffzpr+ies N15' 'Y.Y621
FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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