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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 COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS