HomeMy WebLinkAboutBuilding Permit Application SUPPLEMENTAL EONSTRUG'TiC31V:1:lEN.tAW lNF!DRMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address: j
I City: State* City: State:
Zip:
Phone Zip: Phone: 1
FEE SIMPLE TITLE HOLDER: Not Appli ble 60 DING COMPANY: Not Applicable
Name: Nam
Address:=amts Vddre s•City:
Zip: Phone: Phone:
OWNER/CONTRACTOR A D IT:Appll tion is here\and
e obtain a permit to do the work and Installation as indicated.
a
I certify that no work or Installati s comme ed prior tuance of a permit..
i St.Lucie Court makes no rep sen t n ng a pill authorize the permit holder to build the subject structure
which is in conflict with any appiicab ome Owne , socies,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Ho Owners Associatioview your deed for any restrictions which may apply.
` In consideration of the granting of this r uested permit,I do hereby agree that i will,in all respects,perform the work
in accordance with the approved pians,t e 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 Inspe ' n.If you intend to obtain financing,consult with lender or an attorney before
commencing work o re ording your Notice of Commencement.
SignatuKof Owner/"Lessee/Contractor as Agent for Owner Signa of Contractor/!a o':ier
' STATE OF FLORIDA ATE OF FLORI ,
COUNTY OF Fhl t" &W-17 COUNTY OF ' 044 l 149171UE2-
The forgoing instrument was acknowledged before me The fotfing instrument was acknowledged before me
i this 7�1 day of- ,�t,�iLL1e ,2612 by this!day of CDU _---,2019' by
Name of pe on making statement Name of person making statement
G Personally Known, OR Produced Identification Personally Known_ _ OR Produced identification
Type of Identification Type of identification
i Produced Produced
f ,
F ,
Sig Lure of No F o ` a (Sig to
yr
Notary Public StatNotery ublic State of Florida
�a f Fl nda .i� � Maria A Mdiine
! Commission No. - Marla A Molina 04911 Commis > M Commission GG 211062 (S !)
Commission GG 211062 w xpires Op/ 512022
or lti Expirab 04/25/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
c
AWAPPLIClABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0, Permit Number:
•
_•_� _ � � -
Building Permit Application RECEIVE®
Planning and Development Services
Building and Code Regulation Division JUL 7019
2300 Virginia Avenue,Fort Pierce FL 34982 �T Cctl fir,
1 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Reslcten.t SV—cox_ �, rmitting
PERMIT APPLICATION FOR: Roof �a�q1 f
PROPOSED IMPROVEMENT LOCATION:
Address: 2116 NW Greenbriar Ln, Palm City,FI 34990
Legal Description: Greenbrier Village Harbour Ridge-Plat 2-N 12.29 FT of W3.20 FT of Unit 8 and Unit 9-Less BEG at SE COR Unit 9 Run N 36
09 32 W ALG ELY LI Unit 9 45.32 FT to POB,TH S 63 50 58 W 2.79 FT,TH N 28 15 33 W 13.01 FT,TH N 63 50 58 E 3.27 FT to PT on E LI of Unit 9
Oz. I .00 1 —
Property Tax ID#: 4425-701-0045-000/6 pa.35//.-I 7 3 1l Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Concrete Tile roof systems to 24ga Galvalume 13/4" Sanp Lock w/Striations, Sierra Tan color
metal roof.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator ✓ Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 00 Sq. Ft.of First Floor:
Cost of Construction:$ S4,4500- Utilities:Sewer E]Septic 'Building Height: 8'
-OWNER/LESSEE: CONTRACTOR:
Name Mike Marontate Name. Juan Martinez
Address: 2116 NW Greenbriar Ln Company: Total Roofing Systems
City: Palm City State: FL Address: 340 Pike Rd.
Zip Code: 34990 Fax: 561-784-1098 City: West Palm Beach i State: FL
Phone No.561-784-3444 Zip Code: 33411 ! Fax: 561-784-1098
E-Mail: maria@totalroofingsystems.net Phone No. 561-784-1098 11
Fill in fee simple Title Holder on next page(if different E-Mail: maria@totalroofingsystems.net
from the Owner listed above) State or County License: OCC1330788
I
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i