HomeMy WebLinkAboutBuilding permit i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: d ' Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services JUN 17 2019
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
PROPOSED IMPROVEMENT LOCATION:
Address: 6144 Alexandria Circle , Ft Pierce FL 34982
Legal Description: Palm Grove S/D BLK K LOT 15 (0.12 AC) (OR 1498-205;4028-306)
Property Tax ID#: 3410-503-0315-000-3 Lot No. 15
Site Plan Name: Block No. K
Project Name: Patricia J Selmer
Setbacks Front Back: Right Side: Left Side:
DETAILED,D'ES-CR"IPTION�Ol" ORK:
Remove Existing Shingle from Roof Install 14" Solar Tube
Install Soprema Resisto Install Solar Attic Breeze Attic Vent
Install Lomanco RidgeVent
Install IKO Dynasty Shin' les
CONSTRUCTION.IINIFORMATION:
Acid itional work toe e orme under this permit=check a appy:
HVAC 13 Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric Plumbing Sprinklers Generator g Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 3100 Sq. Ft. of First Floor:
Cost of Construction:$ 13925.00 Utilities: Sewer Septic Building Height: 13
OWN ER/LESSEE: CONTRACTOR:
Name Patricia Selmer Name: Joshua Schroeder
Address:6144 Alexandria Circle 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. 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.
DESIGNERANGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: - Phone.-
FEE
hone:F£E 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.
it.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
;tructure.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 , perform the work
in accordance with the approve s,the Flod uilding Codes and St.Lucie County Ame me ts.
rhe following building per app ation re exem t from undergoing a full concurren revie .room additi ns,
accessory structures,s coming p ols, ences,wall ,signs,screen rooms and accesso uses to nother non widen ia1 use
WARNING TO NER:Yo r fa lure to R ord a Notice of Commence nt may r ult in yo payin twice for
improveme s to your pr perty. of a of Commencement mu a recor d and p sted o the jobsite
before th first inspect' n. If you int o obtain financing, co ult with I der or an actor ey before
comm cin work o tecordin o r Notic of Commenceme
__- __- ------ s
NgRa2ure of Owner/Lessee/Contractor as Agent for Owner I r'e of Contractor/License Holder
STATE OF FLOI STATE OF FLORIDA
COUNTY OF� �J� I _ COUNTY OF
The forgoing instrum t was ac nowledged efore me The forgoing instru ent was acknowledged before me
this day of 20 ibY this day of _,20 _fi by
JG s h rA a- &cli -ed-e- "S"��So h no �-
(Nam a person acknowledging) (Name of son acknowledging)
SI nature 0 0 ary Pub St a of Florida) (Sig ure of Notary Public-State of Florida}
Personally Known aOR Produced Identification Personally Known OR Produced Identification
y ype of Ide f o p oU c d
Type of identification Produced
_.t}�7•sG,`a,. z q"tt., , F
ISA MARIE-M5OtaNtT�wtiLlELISA MARIE MONTELEONE
,, ($M Public-State of Florida mmissio :'g; Notar_
Commission No. Commission N GG 190497 �
6nl
Commission#GO 106491
My Comm.Expires Feb 27.2022 ` ... {u!}cCwsrcrcm. }mites Pe+l�°2J 2Ef12'
t row a trona' ci ar 'sgtti
9 h,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS