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.ALL'APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c
Date: Permit Number: - T 0
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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
PRpPOSED IIVIPRQUEiVIENT LOCATIQN
Address: 106 SE Lucero Dr, Pt St Lucie, FL 34983
Legal Description: 106 SW Lucero Dr, River Park UNIT 7- BLK 71 LOT 1 (MAP 34/28S)
Property Tax ID#: 3419-550-0124-000-0 Lot No.1
Site Plan Name: Block No. 71
Project Name: Bonnie Curtis
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QF WORK
Remove Existing Shingle 2/12 Pitch 23 SQ
Install Soprema Resisto Underlayment Flat Roof to be Included
Install Lomanco Ridge Vent PolyFresko SAV
Install IKO Cambrid a Shingles 2 SQ
CONSTRUM�N, FORMATION _
itiona wor to e e orme under tispermit-c ec a appy:
❑HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing []Sprinklers E]Generator g Roof 212 Roof pitch
Total Sq. Ft of Construction: 2500 Sq. Ft. of First Floor:
Cost of Construction:$ 11150.00 Utilities: Sewer ElSeptic Building Height: 13
OWNER%LESSEE w CONTRACTOR.:
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Name Bonnie Curtis Name: Joshua Schroeder
Address:106 SE Lucero Dr Company: Marzo Roofing Inc
City: Port St Lucie State:FL Address: 861 A-SW Lakehurst Drive
Zip Code: 34983 Fax: City: Port St Lucie State:FL
Phone No.772-879-3658 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.
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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: 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 resp s, perform the work
in accordance with the approve s,the Flori ullding Codes and St.Lucie County Ame me ts.
The following building per appli at!on re exem t from undergoing a full concurren revie .room additi ns,
accessory structures,s mming p ois, ences,wall ,signs,screen rooms and accesso uses to nother non eside ial use
WARNING TO NER:Yo fa lure to R ord a Notice of Commence nt may r ult in yo payin twice for
improveme s to your pr perry. o ' e 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 an attor ey before
comm cing work o ecording y Notic of Commenceme
---M'� s
eaCD�
ure of Owner/Lessee/Contractor as Agent for Owner I e of Contractor/License Holder
STATE OF FLO STATE OF FLORIDA
COUNTY O ��` .�-lLL���'. COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this, day of, y �2'v_ 20 —�'6y this,5 day of Q,.](cwtLU--,L ,20 by
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{Name
{Name of person bcknowledging) of person acknowledging)
ignature of Notary Pub' -State of Florida) s nature of—Notary Public-State of Florida}
Personally Known OR Produced identification Personally Known OR Produced Identification
Type of identification Produced Ype of ide if o P c d
I LISA MARIE MONTELEONE USA MARIETMONTOW{gYPU fFlorltla mmissio ''a•��WCommission No.; = ^�` ' (Sir}JPublic-5tateaCommission GG 190497 Commissiof44�My Comm.Expires Feb 27,2022 !2621
on roug aa
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Revised 07/15/20X4
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