HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0(
Date: Permit Number:
411111111
RECEIVED
Building Permit Application
Planning and Development Services MAR 2 8 2019
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
"PR'O'POSED IM'PROVEMERIT LOCATION:
Address: SyOd 2 e c� W vd r•
Legal Description: iAou ? G c,
Property Tax ID#: 13 13 — Saa Cb-36<4 " a0 3 Lot No. "-/
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAI LED,DESCRIPTION OF WORK:
a,a r a 2,ez�5�,`nca r cY� �+n c1 X15 t �► h�luJ S g l c5
and vyt8 1
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit-check all that appy:
EIHVAC Gas Tank EJ Gas Piping Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers E]Generator Q Roof S a Roof pitch
Total Sq. Ft of Construction: � 4134 S . Ft.of First Floor:
Cost of Construction:$ �,��L� Utilities:Sewer Septic Building Height:
OWNER/LESSEE:..f CONTRACTOR: z
Name V i U 1 •t'r Name: G
VQYUN
Address:q 60 D -tw- Company: TREASURE COAST ROOFING
City: T O Y-� Stater L Address: 1816 SW BILTMORE STREET
Zip Code:! l i9 1_ Fax: City: l't S Lv 6n: State:FL
Phone No.Z�- Zip Co e: 34984 Fax: 772-343-8358
E-Mail: Phone No. 772-370-9770
Fill in fee simple Title Holder on next page(if different E-Mail: TCROOFINGLLC@GMAIL.COM
from the Owner listed above) State or County License: CCC1330653
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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:1816 SW BILTMORE STREET Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signal of Owner/Les a/Con oras Agent for Owner Signatu ontractor/Lic se Hold
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLCUIE COUNTY OF STLUCIE
The for�Qing instrum was cknowledged before me The for oing instrument was cknowledged before me
this o�Y day of /Yi 20j� by this.�ay of 20_41 by
BRIAN J MALONEY BRIAN J MALONEY
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
aw,
/ J L
xy
(Signature of Notary Public-State of orida) (Signature of Notary Public-State of FI Ida)
Commission No.4'!! <4/ V, (Seal) Commission NoA(! ���i2�;2, (Seal)
P,% Notary Public State of Plod Public State of Florida
Commission GG 2742 2 Victor G lento 74292
REVIEWS FRONT Vft'�Expi-eGURMWCIR JPJNS VEGETATIO mI I a 96ROVECOUNTERW REVIEW aR
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17