HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:1$\` ` Permit Number:
RECEIVED
Building Permit Application MAY 0.8 2019
Planning and Development Services ST. Lucip Pminty, Permitting
Building'and Code Regulation Division -- --
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Roof -
PROPOSED IMPROVEMENT LOCATION'
Address: 3171 Columbrina Circle, Port St Lucie FL 34952
Legal Description: Savanna Club-Plat TWO- BLK 10 LOT 11 (or 3994-264)
Property Tax ID#: 3425-702-0019-000-5 Lot No. 11
Site Plan Name: Block No. 10
Project Name: Mary Noll
Setbacks Front Back: Right Side: Left Side:
DETAILED.DESCRIPTION O'F`WORK:
Remove Existing Shingle from Roof Maxim SF Polycarb Skylight FL#2418- R11
Install Soprema Resisto FL# 2569-R14 Mfr Home 2/12 Pitch Gable Roof
Install Lomanco RidgeVent FL#2847-R10 13 SQ
Install IKO Cambridge Shingles FL#7006-R10
CONSTRUCTION INFORMATION:
Additional work toe e orme c a under this permit—c eappy:
HVAC 13 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator 7 Roof 2/12 Roof pitch
Total Sq. Ft of Construction: 1300 SFt.of First Floor:
Cost of Construction:$ 6545.00 Utilities: Sewer Septic Building Height: 13
OWNER/LESSEE: CONTRACTOR:
Name Mary Noll Name: Joshua Schroeder
Address:3171 Columbrina Circle Company: Marzo Roofing Inc
City: Port St Lucie State:FL Address: 861 A-SW Lakehurst Drive
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No. 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.
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5UPPLEtV#E14TAL Cfl( S`�RU t,0A%,, JEN:i.AW I " 'f,0
DESIGNERANGINEER: 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 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 resp ts, perform the work
in accordance with the approve s,the Flori wilding Codes and St.Lucie County Ame me ts.
The following building per appli anon re exem t from undergoing a full concurren revie .room additi s,
accessory structures,s mming p ols, ences,wall ,signs,screen roams and accesso uses to pother non esiden ial use
WARNING TO NER:Yo fa Iure to Re ord a Notice of Commence nt may r uit in yo payin twice for
improveme s to your pr petty. of a of Commencement mu a recor d and p sted o the jobsite
before th irst inspect' n. If you int o obtain financing,co ult with I der or an attor ey before
comm ing work o ecording yo r Notic of Commenceme
�---'' s
ure of Owner/Lessee/Contractor as Agent for Owner I e of Contractor/License Holder
STATE OF FLOT STATE OF FLORIDA
COUNTY 01 4�'4 LC.CC 1 COUNTY OF ' I _ZGtia,'l�°
The forgoing instrument was acknowledgeefore me The forgoing instrument was acknowledged before me
this ¢ day of MCAXJ 20,aby this q day of�� •20 lq by
(Name of person acknowledging) (Name person acknowledging)
n ure Of NotaryPub State of Florida) Sig ature of Notary Public-State of Florida j
Personally Known OR Produced identification Personally Known �' OR Produced Identification
Type of Identification Produced ype of Ide
r1fi
_.`'•'q!Fp�F P�wU°?:a= ' Pa c dMARIE MAA
�RIo-E tlMtsrOiGaNCt�Tse9ra5ttU
Commission No. (SW&Public State of Florida mmissio
commisCommission X GG 190497
y Comm 'I"!➢/p^4.kSTttE
2ME
n t row a ,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS