HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLEEIINF//O MUST BE.COMPLETED FOR APPLICATION TO BE ACCEPTED )9
Date: V' l9' I q Permit Nurr'5'RIEC
XXV D
Building Permit Application
JUN 5 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue,Fort Pierce FL 34982 yr
Phone: (772)462-1553 Fax: (772)462-1578 Commercial -Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PR�OPOISED:IMPROVEMENT LOCATION: „
Address: 1/3 56 Samio CA
Legal Description: 1C i (iQ.r1�. Qrk
Property Tax ID#:3�f�4'_ S S6 — (7(� — a�" Cl Lot No. �b
Site Plan Name: Block Nolo
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
T eo-r a exi 5 1n� &c,-F an d inns cl
_ 114�w 5v rvtq4al qr►d 'UnC6.,laY1:4ni,
acs, r I
CONSTRUCTION INFORMATION:
Acid itiona I work to be ne rtormed under this permit—check all appy:
gHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric Plumbing OSprinklers E Generator M Roof Roof pitch
Total Sq. Ft of Construction: q�1?4a_a Sq. Ft.of First Floor:
Cost of Construction:$ 15� SOO Utilities:Sewer 0 Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name nAvid —3. rc)i n Y Name: i C.0 McAr)w
Address: I C3 SK Son4c 1 clCompany: TREASURE COAST ROO NG
City:T1�Y4 S4. ty G 9. State:.cL Address: 1816 SW BILTMORE STREET
Zip Coder St 9 YJ Fax:: City: State:FL
Phone No. 1?i qa D.— V?C7! Zip Code: 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.
r
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 TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:1616 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 I 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.
Signa Owner/Les a/Contra as Agent for Owner Si a of Contra /Lice older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LCUIE COUNTY OF STLUCIE
The for ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �- day of �Un ,2014 by this 4 day of '�VI�L� ,20 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
(Signature of Notary Public-Stat f Florida) (Signature of Notary Public St a of Florida)
Commission No. .27W.2S7, (Seal) Commission NOArllf'Pl' 7.1•?I.Z (Seal)
"ori Notary Public State of Florida
Victor G A Iterizio ; Victor G Alteriz
REVIEWS FRON '�� oZjp�N�}YGleor si� /�gOR PLANS VEGETA C 1 E i T1�2no(Zc11�t�i�l��`RO E
COUNT R� EVI �es11� 52 VIEW REVIEW REVIE °i` I V
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17