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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: • 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 NOW ' PAF EM 'IiOC®(' ' .. rt :, . . Address: 243 OLD KEY WEST PLACE, FT PIERCE FL 34982 Legal Description: 243 OLD KEY WEST PL TROPICAL ISLES (OR 2786-2163) UNIT K-19 Property Tax ID #: 3410-508-0295-000-1 Lot No. Site Plan Name: Block No. Project Name: HAROLD SABIA Setbacks Front Back: Right Side: Left Side: Remove Existing Shingles 15 SQ FT 3/12 PITCH Install Soprema Resisto Smooth Underlayment MFR HOME Install Lomanco Install IKO Cambridge Shingles UPCOiN.S RU®R. TI®N F x ..m.IS x Additionalwork to be ertormed under this permit — cneCK all appy: ❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors ❑ Electric ❑ Plumbing ❑ Sprinklers ❑ Generator Roof 3f'12 Roof pitch Total Sq. Ft of Construction: 1500 Sq. Ft. of First Floor: Cost of Construction: $ 6150 Utilities: 0 Sewer ❑ Septic Building Height: 13 MORON ,.., •Sam . W ES Name HAROLD SABIA Name: Joshua Schroeder Address:243 OLD KEY WEST Company: Marzo Roofing Inc City. Ft Pierce State: FL Address: 861 A -SW Lakehurst Drive Zip Code: 34982 Fax: City: Port St Lucie State: FL Phone No. 772-579-6681 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. SU-PPLEIVf.ENTA'L"CON'ST'�tU:C''IE3 ' 1. N. LA1V l( +D i I ATI4M 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: Zip: Phone: City: 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 is 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 ts, perform the work the Flori uilding Codes and St. Lucie County Ame me ts. in accordance with the approv�e S, The following building per appli ation re exem t from undergoing a full concurren retie . room additi ns, accessory structures, s mming p ols, ences, wall ,signs, screen rooms and accesso uses to nother non esiden ial use WARNING TO NER: Yo r fa lure to Re ord a Notice of Commence nt may r ult in yo payin twice for . of a of Commencement mu a recor d and p sted o the jobsite improveme s to your pr petty before th irst inspect' n. If you Int o obtain financing, co ult with I der or an actor ey before comm cin work o ecording r Notic of Commenceme igFiature of Owner/Lessee/Contractor as Agent for Owner 1 tTXre'of Contractor/License Holder STATE OF FLOF -'q- .,. L� c COUNTY OFA The forgoing instru pnt was acknowledged before me this j5-- day of 20 /—q—by (N me o person acknowledging ) (Signat re of Notary Pub " =State of F401 Personally Known " OR Produced Identification Type of Identification Produced„A,dN.dl►��'� LISA MARIE MONTELEONE Commission No.- ($Xakjl Public - State of Florida - , € Commission # GG 190497 My Comm. Expires Feb 27. 2074 Revised 07/15/2014 REVIEWS DATE COMPLETE INITIALS STATE OF FLORIDA COUNTY OF I The forgoing instrument was acknowledged before me this % day of rehlea , 20 L by (Name of person acknowledging) (Signat re of Notary Public- State of Florida ) Personally Known 4111' 1 OR Produced Identification Ivne of Ide ifa'o P o c d LISA MARIE MONTELI o art Public - state o1 Commission. # Go 1101 FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW