HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U c�
Date: �A_T 1T� Permit Number:
FNOV
EIVED
Building Permit Application7 2018
Planning and Development Services nty, Permitting
Building and Code Regulation Division 9
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof -
ROPOSED�I!M��,PR.Oa�V�,El1/IENI� LOCATI®,,;�N: , -�
Address: 3773 Sage Ct, Pt St Lucie, FL 34952
Legal Description: SAVANNA CLUB PLAT THREE BLK 26 LOT 9 (OR 2816-516)
Property Tax ID#: 3425-703-0226-000-4 Lot No.9
Site Plan Name: Block No. 26
Project Name: Diane Marble
Setbacks Front Back: Right Side: Left Side:
147Fffi7TA_',,'!
._ �LED D,E;SCRIPI-I®N ®.F 1N®RK:21, z ��
_�r� ,F. .
Remove Existing Shingles Install 3 Maxim SF Polycarbonate Skylight
Install Soprema Resisto Underlayment MFR Home
Install Ridge Vent Lomanco
Install IKO Dynasty Shingles
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—c ec a appy:
HVAC 11 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers I—II Generator Z Roof 212 Roof pitch
Total Sq. Ft of Construction: 1300 S . Ft.of First Floor:
Cost of Construction:$ 6395.00 Utilities:]Sewer Septic Building Height: 13
INNER/LESSEE: WAC®NTR TOR:
Name Diane Marble Name: Joshua Schroeder
Address:3773 Sage Ct Company: Marzo Roofing Inc
City: Port St Lucie State:FL Address: 861 A-SW Lakehurst Drive
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No. 772-828-0838 Zip Code: 34983 Fax: 772-465-8829
E-Mail: Phone No. 772-871-2489
Fill in feesimple 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.
SUPPL'EMEN-T L CON'S.TR I W,LIM tLAW tMal�����i:
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 1 will,in all respcts, 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 anon re exem t from undergoing a full concurren revie .room(non
s,
accessory structures, mming p ols, ences,wall ,signs,screen rooms and accesso uses to notheide ial use
WARNING TO NER:Yo faluretoR and a Notice of Commence ntmayr ultin yin twice for
improveme s to your pr perty. o ' eof Commencement mu a recor dandp the jobsite
before th first inspect' n. If you int o obtain financing,co ult with I der or an add)
before
comm cin work o ecordin o r Notic of Comm enceme
_,..� s
pigiureof Owner/Lessee/Contractor as Agent for Owner I naWe of Contractor/License Holder
STATE OF FLO J? STATE OF FLORIDA
COUNITY DIF L-uGOe COUNTY OF
The f r Ding instrument was acknoyv ledge �efore me The forgoing instrument was acknowledged before me
'17this day of�• IPV I_ f 20 by this day o€ �1U2YYl� .24 IL by
(Name,of person acknowledging) (Name of person acknowledging)
o
wadh2w
I nature of Notary Pub -State of Florida) lvvuature of Notary Public-state of Florida)
Personale Known 1OR Produced Identification Personally Known OR Produced Identification
Y
Type of Identification Produc d Ype of'Ide i€
...NYU LISA MARIE MONIELEONE s ' ',� LISA MARIE MONT LS
.:
Commission No. = �, g ( erg Pubtic-state of Florida ommissio erg , ; n� ac>uyPubti_r-state ofPib 6
Commission#C,tr 19Q497 4 r Commission#GO 10649)
" of w�Q: MY Comm.Expires Feb 27.2022 � F V* am.FXFfi*$*d 3'�x621
n roug a orta' yd
Revised 07/15/2014
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