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 F•'
i
Address: 5680 Hemingway Ct #C-15 FT Pierce, FL 34982
Legal Description: TROPICAL ISLES (or 2786-2163) UNIT C-15 (or 3947-2110)
Property Tax ID #: 3410-508-0054-000-0
Lot No.
Site Plan Name:
Block No.
Project Name: June V Watson
Setbacks Front Back:
Right Side:
Left Side:
Remove Existing Shingle
Install Soprema Resisto Underlayment FL 2569-R14
MFR HOME
Install IKO Cambridge Shingles
FL7006-R10
Install Lomanco Rid - e Vent
FL2847-R9
artional work toe nertormed under this permit — check a
appy:
Q
HVAC0 Gas Tank
[]Gas Piping
_
Shutters
Windows/Doors
0 Electric 0
Plumbing
❑Sprinklers 1:1
Generator
Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 10000
S Ft. of First Floor:
Cost of Construction: $ 4175.00
Utilities:-
Sewer
�
Septic
Buil I ing Height: 13
Name June V Watson
Address: 5680 Hemingway Ct # C-15
City: Ft Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 706-768-5545
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Joshua Schroeder
Company: Marzo Roofing Inc
Address: 861 A -SW Lakehurst Drive
City: Port St Lucie State: FL
Zip Code: 34983 Fax: 772-465-8829
Phone No. 772-871-2489
E -Mail: marzoroofinginc@gmail.com
State or County License: CCC -1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENT-CONSTRU.' IO.N. LI,�N LAIN I`N�O��ArtI��I:
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 1 lict 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 hich may apply.
Inconsideration 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 eappli ation re exem t from undergoing a full concurren revie .room additi ns,
I
accessory structures, s mming p ols, flences, wall , signs, screen rooms and accesso uses to nother I non esiden ial use
WARNING TO NER: Yo r fa lure to Re ord a Notice of Commence nit may r ult in yo, payin twice for
improve ne s to your pr petty. of a of Commencement mu a recor d and p sted o the jobsite
before th irst inspect' n. If you int o obtain financing, co ult with I der or anttor ey before
comm cing work o ecordin o r Notic of Commenceme
as Agent for Owner
r
STATE OF FLO STATE OF FLORIDA ,
COUNTY OF4��YCOUNTY OF i� 7 �G
The for" Ing instrument was ackn
The forg ing ins tr ent was ac nowledged before me this day of_Z
thi day of i�, 20 by
(Name of person acknowledging) .
( ame of person acknowledging)
re of Notary Pub,K— State of Florida )
Personally Known 11 OR Produced Identification
Type of Identification Produced
,tiF ';fie, LISA MARIE MONTELEONE
Commission No. , •` ($gabpublic - State of Florida
Commission $ GG 190497
Qa
My Comm. Expires Feb 27.202;
Revised 07/15/2014
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ZONING
SUPERVIS(
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DATE
COMPLETE
INITIALS
Si ature of Notary Public- State
Personally Known OR Pr(
;'vpe of IderWfi&� odd u�,�
sdged before me
20 Lu - by
Florida )
Identification
LISA MARIE M'ONTEL•EG
• Rsr • Notary Public — Sta4e � �
Commission I Gees 1,064
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)R PLANS VEGETATION I SEA TURTLE MANGROVE
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