HomeMy WebLinkAboutROOF - FIBERGLASS SHINGLE ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 I� Permit Number:Mo
T
RECEIVED
. Building Permit Application OCT 19 9018
Planning and Development Services ST. Lucie Countyf f ormittin
Building and Code Regulation Division __.__ 9
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 l=ax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
-PROPOSED IMVPROVEMENTLOCATIdN - _ .__w.
Address: 6666 ALHELI
Legal Description: SPANISH LAKES FAIRWAYS
Property Tax ID#: 1306-500-0046-000-1 Lot No.8
Site Plan Name: Block No. 39
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OFWORK:
TEAR OFF EXISING ROOF AND ISNTALL NEW TAMKO SHINGLES 1/ aa��-1 51/'C, -
CON'
CONSTRUCTION INFORMATION: 77771
Additional work to (e ne orme under this permit—check a appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof 512 Roof pitch
Total Sq. Ft of Construction: 1530 S . Ft.of First Floor:
Cost of Construction:$ 12,500 Utilities:Sewer O Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Name: 1 t an PoAonw
Address: ro k&A i Company: TREASURE COAST ROOFIN
City: qf CA. State:F, Address: 1816 SW BILTMORE STREET
Zip Code:`3� `I 5 t Fax: City: State:FL
Phone No. &147— C/6q 1.Q S7 Zip Code: 34984 Fax: 772-343-8358
E-Mail: 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:1846 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 thepermit 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.
Signatu Ow essee/ ractor as Agent for Owner Signa ure ontractor Lic a Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLCUIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument as acknowledged before me
this 1 ?day of dI Com. ,20_Lr by this /? day of O 20_1k 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 Identification Type of Identification
Produced ProducedNotery is state of Florida
Deborah J Cacciatore
rr47"*
Notary Public State of Florida a My Commission GG 148734
Deborah J Cacciatorea Rd� Expires 1oH vzo21
My Commission GG 148734
(Signature of Notaryu t atetrF°M= (Signature of Notary Public-State of Florida)
Commission No.CSQ. I $ -12,� (Seal) Commission No.&&, y��3� (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17