HomeMy WebLinkAboutUntitled ALL APPL'IC'ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: y-� nom- q Permit Number:
FAPR
EIVED
Building Permit Application6 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
PR®P®°SED',IM'PROVfMENT LOCATION:
Address: 3168 Columbrina Circle, Port St Lucie FL 34952
Legal Description: Savanna Club-Plat TWO-BLK 11 LOT 5
Property Tax ID#: 3425-702-0044-000-9 Lot No. 5
Site Plan Name: Block No. 11
Project Name: David C Dalton
Setbacks Front Back: Right Side: Left Side:
DETAILEDDESCRIPTION OF WORK:
Remove Existing Shingle from Roof Maxim SF Polycarb Skylight FL#2418- R11
Install Soprema Resisto FL#2569-R14 M_ FR HOME
Install Lomanco RidgeVent FL#2847-R10 4/12 Pitch
Install IKO Dynasty Shingles FL#17800-R 2
CONSTRUCTION INFORMATION:
itiona work toe nertormed under M-sTe—rmit—check a appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers El Generator Roof, 4/12 Roof pitch
Total Sq. Ft of Construction: 1100 Sq. Ft.of First Floor:
Cost of Construction:$ 5200.00 Utilities:0 Sewer OSeptic Building Height: 13
`OsWN`E�R'/LESSEECONTRACTOR:;
Name David Dalton Name: Joshua Schroeder
Address:3168 Columbrina Circle Company: Marzo Roofing Inc
City: Port St Lucie State:FIL Address: 861 A-SW Lakehurst Drive
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No. 772-323-0661 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.
'r
L t - e
�: + r•��'tO` ,Ott� i #,i�6� fA'�.;��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
f
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 anyapplicable 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 ts, perform the work
in accordance with the approve s,the Flole
ilding Codes and St:Lucie County Arne me ts.
The following building per app ation re t from undergoing a full concurren revie .room additi s,
accessory structures,s mming p ols ences, igns,screen rooms and accesso uses to nother non eside ial use
WARNING TO NER:Yo fa cure to Ra Notice of Commence nt may r ult in yo payin twice for
improveme s to your pr perty. ofCommencement mu a recor d and p sted o the jobsite
before th irst inspect' n. If you int btain financing, co ult with I der or an attor ey before
comm cin work a ecordin a r Nof Commenceme
t'ure of Owner/Lessee/Contractor as Agent for Owner ♦i e of Contractor/License Holder
STATE OF FLO" STATE OF FLORIDA
Y" r�
cauNTv OF5' Js�' COUNTY OF �� Gleu 1,
The forgoing instrent vgas acknowledged before me The forgoing instrument was acknowledged before me
this day of_ __ _. 20 by this day of f2!l ._______,20 Iq by
(Name of person acknowledging) (Name of person acknowledging)
:(Si nature4Of Notary Pub =Stale of Florida) (Sign, ture of Notary Public State of Florida)
Personal) Known •Notary
Produced Identification Personally Known 41 OR Produced Identification
Personally
pe of Ide if' 'o P o c d
Type of Identification Produced I
YP(j8'' LISA MARIE MONTELEONE .��,t� ;,; .LISA MARIE MON'i' L• t
Commission No. .' 4;s(Sti$i )/Public state of Florida ammisslo. ts "':` g NatarvPpSJc�Siatacr!! 5�
=s ra Commission 0 GG 190497 :� t'� Commission#G 45Ff+ I
Comm.Expires Feb 27.2022 :" * tN�yCwnav+m.ffx�nik+ei 1 CM2/2'Ff2%
My
ane t r Pug a n ti ar s
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS