HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date:' \�a1�� Permit Number:
RECEIIV'ELD
Building Permit Applicatio JAN I- 0 01.9
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Perrnittine
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof - ��\� w• �y� 3k
PROPOSED IMPROVEMENT LOCATION:
Address: 8403 Delphinium Ct, Pt St Lucie FL 34952
Legal Description: 8403 Delphinium Ct, Savanna Club Plat Three BLK 30 LOT 13 (OR 1708-614: 1900-2170)
Property Tax ID#: 3425-703-0328-000-7 Lot No. 13
Site Plan Name: Block No. 30
Project Name: William Goddard
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: `
REMOVE EXISTING SHINGLES INSTALL 2 MAXIM SF POLYCARBONATE SKYLIGHTS
INSTALL SOPREMA RESISTO UNDERLAYMENT 14 SQ 3/12 PITCH ROOF
INSTALL LOMANCO MFR HOME
INSTALL IKO DYNASTY SHINGLES
CONSTRUCTION INFORMATION: u
Additional work toe nerformed under tispermit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1400 S Ft. of First Floor:
Cost of Construction:$ 5600.00 Utilities:Cn Sewer 0 Septic Building Height: 13
OWNER/LESSEE: CONTRACTOR:
Name William Goddard Name: Joshua Schroeder
Address: 8403 Delphinium Ct 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. 772-343-7463 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.
SUPT'L EMEN,TA,L-CONSTR.'U: `JO`l °.;i.E. -LAS ICt-'-!;>� TpN.
DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Tip: 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 Flari uslding Codes and St.Lucie County all
me ts.
The following building per
al
atian re exem t from undergoing a full cancurren revie .room(non (
accessary structures,s coming p ols, ences,wall ,signs,screen roams and accesso uses to nattieia!use
WARNING TO NER;Yo fa lure to Re ord a Notice of Commence nt may r ult in ywice for
improveme s to your pr petty. o " e of Commencement mu a recor d and pe jobsite
before th irst inspect" n. If you int o obtain financing, co ult with I der or an efore
comm cin work o ecordin o rr`Notic of Commenceme
ire of Owner/Lessee/Contractor as Agent for Owner SigniaiI of Contractor/License Hold—
STATE OF FLORIDA. i STATE OF FLORIDA
COUNTY of :S'I 1Z'( -Ie COUNTY OF .�Y 1_6( of
Thef 'rgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of g. 20 by this j day ofM it UOA. 4 20 by
chi c.C.7-{?Y" .lam1• �(�r
(Nam f person acknowledging) { ame f person acknowledging)
r
(Si nature of Notary Pub :.State of Florida) ature of N;:)tary Public-State of Florida
Y }
PersonallKnown ""'A OR Produced Identification Personally Known d'"/ OR Produced Identification
Type of Identification Produced ype of Ide if` a 'o P o c d
,ti;.yP.e, LISA MARIE MONTELEONE y;. LISA MARIE MONTEI:Iiq�)
Commission No. :�. �.%; ($}g>�IrkPublic-State ofFlortda ommissio at,= _ ata A„f}t3c_StatacalFhS�I
s r= Commisslon 4 GG 190497 4�i xF Commissiotf#W 40641Y
My Comm.Expires Feb 27,2022 111 Comm une5• tt zY.2(s22
one
oUgn NaCronB' titer 'ss
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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