HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
Address: 4712 Regina Drive, Ft Pierce FL 34982
Legal Description
Regina Palms S/D BLK 8 Lots 1,2,5 and 6 (0-77AC) or 3963-838
Property Tax ID #: 3403-501-0188-000-5
Site Plan Name:
Project Name: Deborah L Robbins
Setbacks Front Back:
Right Side
Remove Existing Shingle from Roof
Install Soprema Resisto FL# 2569-R14
Install Lomanco RidgeVent FL#2847-R10
Install IKO Dynasty Shingles_ FL#17800-R 2
❑ HVAC
0 Electric
Lot No. 1,2,5,E
Block No. 8
Left Side:
2/12 Pitch
"Shutters
Plumbing Sprinklers 0 Generator Ri Roof pitch
Total Sq. Ft of Construction: 1300
Cost of Construction: $ 4500.00
S Ft. of First Floor: _
Utilities:OSewer D Septic
Name Deborah L Robbins
Address:4712 Regina Drive
City. Ft Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-216-7377
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Joshua Schroeder
QWindows/Doors
Roof 2/12
Building Height: 13
Company: Marzo Roofing Inc
Address: 861 A -SW Lakehurst Drive
City: Port St Lucie State: FL
Zip Code: 34983 Fax: 772-465-8829
Phone No. 772-871-2489
E-Mail: marzoroofinginc@gmail.com
State or County License: CCC-1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires.
yUPP'LEMNl"A-L CtM:`tNfJtM''M
)ESIGNER/ENGINEER: i Not Applicable
MORTGAGE COMPANY: Not Applicable
Vame:
JAddress:
Name:
kddress:
State:
City: State:
:ity:
lip: hhnne•
Zip. Phone:
=EE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Vame:
Name:
Address:
kddress:
City:
Zip: Phone:
lipp:: Phone: i
r
certify that no work or installation has commenced prior to the issuance of a permit.
.t. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
vhich 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.
n consideration of the granting of this requested permit, I do hereby agree that I will, in all resp ts, perform the work
n accordance with the approve s, the Flori uilding Codes and St. Lucie County Ame me ts.
he following building per appli ation re exem t from undergoing a full concurren revie . room additi ns,
accessory structures, s mming p ols, fences, wall , signs, screen rooms and accesso uses to nother non widen ial use
ce for
,NARNING TO ouR: YO ertyure toRepdCommenc a Notice of Commence
nt a rec r r d and p st d o�n the �jobs to
mproveme s to y p h
3efore th irst inspect' n. If you int o obtain financing, co uN with I der or an attor ey before
cnmm cing work o fecordin o r Notic of Commenceme
Owner/Lessee/Contractor as Agent for Owner
STATE OF FLOI 1?I Z�c t• o r� ---- -----
COUNTY O1F
The f going instru ent was a nowle2gge��� re me
this K day of
(Name of person acknowledging )
_ / c
of Notary Pubes Slate of Florida
Personally Known a'OR Produced Identification
� _
Type of Identification Produced LISA M.ARIE MONTELEONE
(plrPublic - State of Florida
ti
Commission No. s Commission I GG 190497
My Comm. Expires Feb 27. 207A
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
COMPLETE
INITIALS
tense Holder
STATE OF FLORIDA
coutirYolr----�.�iJ �.. The forgoing instrument was acknowledged before me
this L day of , 20 .N_ by
person acknowledging )
(signature of Notary Public- State of rlorida )
Personally Known OR Produced Identification
7'vne of Ide if' a 'o P o c d
SUPERVISOR I PLANS
REVIEW REVIEW
s
y LISA MARIE MONTELEq¢QE
tiI%`= Notary Ic StAtuOfPlY i�f7�l
•4: p �"'�`' `r Commissiatn # CeCs
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VEGETATION [SEARET' RILE MANGROVE
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