HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
^K�
IM -01-4
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: Roof
p_
Address: 8009 Meadowlark Lane, Pt St Lucie FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB BLK 50 LOT 32 (OR 1269-2993)
Property Tax ID #: 3425-706-0222-000-3 Lot No. 32
Site Plan Name: Block No. 50
Project Name: Margaret A Valley -Kenyon
Setbacks Front Back: Right Side: Left Side:
Remove Existing Shingles
Install Soprema Resisto Underlayment FL 2569-R14 MFR Home
Install Ridge Vent Lomanco FL 2847-R10
Install IKO Dynasty Shingles FL 17800-R2
rtiona wor to e e orme un er t is permit — check all that appy:
HVAC Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers FIGenerator R1 Roof 2/12 Roof pitch
Total Sq. Ft of Construction: 20000 Scl. Ft. of First Floor:
Cost of Construction: $ 7725.00 Utilities: Sewer []Septic Building Height: 13
Name Margaret A Valley -Kenyon Name: Joshua Schroeder
Address: 8009 Meadowlark Lane Company: Marzo Roofing Inc
City: Pt St Lucie State: FL Address: 861 A -SW Lakehurst Drive
Zip Code: 34952 Fax: City: Port St Lucie State: FL
Phone No. Zip Code: 34983 Fax: 772-465-8829
E -Mail: Phone No. 772-871-2489
Fill in fee simple Title Holder on next page (if different E -Mail: marzoroofinginc@gmail.com
from the Owner listed above) State or County License: CCC -1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CON5 '1 1J 101 . t;I.EN.>LA1N II��iDKWT—I;0
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 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 approver s, the Flori uilding Codes and St. Lucie County Ame me ts. X1
The following building per appli atic
accessory structures, s mming p ols, i
WARNING TO NER: Yo r fa l�u
improveme s to your pr perty.
before th irst inspect' n. if you
comm cin work o ecordin
re of Owner
STATE OF FLOT�A.,,�l
COUNTY OF
Are exem t from undergoing a full concurren revie . room additi ns,
ces, wall , signs, screen rooms and accesso uses to _other non esiden ial use
to Re ord a Notice of Commence nt may r ult in yo payin twice for
YrNotic
a of Commencement mu a recor d and p sted o the jobsite
o obtain financing, co ult with I der or an attor in
before
of Commenceme
as Agent for Owner
The f%going instru hent was acknowledged pefore me
JK
this' day of , 20by
(Name of person acknowledging) .
Wnature of NotaryPups- �zaze ui r1u11uQ i
Personally Known i OR Produced Identification
Type of Identification Produced �� ,�•�
LISA MARIE MONTELEONE
Commission No. °� ^�'- ^<_ (S�arrjjPublic.-State of Florida
's qq� Commission # GG 190497
My Comm. Expires Feb 27,207;
Revised 07/15/2014
REVIEWS
DATE
COMPLETE
INITIALS
of Contractor/License
STATE OF FLORIDA -
COUNTY OF ��� %Gtc.JZ
The forgoing inst meet 1 as acknowledged before me
thi day of , 20 J,�' by
(Name of person acknowledging)
(Sig ture of Notary Public- State of Florida )
Personally Known OR Produced Identification
Tvr)e of Ide if' a- 'o P o c cI
FRONT ZONING PLANS
COUNTER I REVIEW I_ SUPERVISOR REVIEW REVIEW
�• ;,:> LISA MARIE MONTEL•{rGJ�I�
��rtr • :�aptary Puhlic - Sta4e Gil I^ �I
r Commission # Go 110640)
rsnn •'titer ' sst1.
V*C0MM,.EVftS-Fd&& X621
21
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW