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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �`a.�l``` Permit Number: ����•d��� RECEIVED Building Permit Applica on AUG 2 9 2019 a Planning and Development Services ST. Lucie.County, Permitting 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 PROPOSED IMPROVEMENT LOCATION: Address:- 5717 SUNSET BLVD, FT PIERCE FL 34983 Legal Description: 5717 SUNSET BLVD, FP INDIAN RIVER ESTATES UNIT-08 BLK 64-LOT 31 (MAP 34/11 NANDS) Property Tax ID#: 3402-609-0469-000-7 Lot No. 31 Site Plan Name: Block No. 64 Project Name: Debra Trucks Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Remove Existing Shingle Detached Garage to be included Install Polystick MTS FL5259-R28 4/12 Pitch HIP Roof Install Extreme Metal 5-V Crimp FL17022-R7 CO''NSTRUCTIOWN'FORMATION: AClcl itiona I work toe nertormed under this permit—check all appy: ❑HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors Electric 0 Plumbing []Sprinklers Generator W1 Roof 4/12 Roof pitch Total Sq. Ft of Construction: 27 Sq. Ft.of First Floor: Cost of Construction:$ 15300.00 Utilities:0Sewer ElSeptic Building Height: 13 0wN ER/LESSEE: CONTRACTOR: Name Debra Trucks, Name: Joshua Schroeder Address: 117 NW Peach St Company: Marzo Roofing Inc City: Pt St Lucie State:FL Address: 861 A-SW Lakehurst Drive Zip Code: 34983 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. r� SUPPLE'ME-�tl"A-'L:-CONSTi��l l,ON.L,1.EN.--L, W L1 lDLt X. DESIGNER/ENGINEER: Not ApplicableMORTGAGE 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. A.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 ts, perform the work n accordance with the approve s,the Flori uilding Codes and St. Lucie County Ame me ts. rhe following building per appii ation re exem t from undergoing a full concurren revie . room addit)el accessory structures,s mming p ols, ences,wall ,signs,screen rooms and accesso uses to pother non ial use WARNING TO NE R:Yo r fa lure to Re ord a Notice of Commence nt may r ult in yo pwice for improveme s to your pr perty. of a of Commencement mu a re I d and p ede jabsite before th irst inspect' n. if you int o obtain financing,co ult with I der or an attarore comm cin work o tecordin o r Notic of Commenceme gr�aature of Owner/Lessee/Contractor as Agent for Owner i tCi're of Contractor/License Halder STATE OF FLO[ p STATE OF FLORIDA F COUNTY O �-'-�T" Lc�rc trCOUMTv OF The f oing instr ent was acknowledge fore me The fgoing instrU ent was acknowledged iefore me thiday of 20 / by this�24�oay of_^ hu % as _. 1 by ( ame f person acknowledging) J( e of rson acknow edging ig ature of Notary Pub State of Florida) / re of Notary Public-Stat of Florida} Personal) Known t OR Produced Identification Personally Known d/ OR Produced Identification Personally pe of Ide if" o P o c d Type of Identification Produced LISA MARIE MONTt#1 izi �Yr� LISA MARIE MOivTEI�©NE ,'�;.,.:' " rs, ; Commission No. ''.}� °�^:°;($i0dlry/public-State afFlorida ammiSsio ;e>!,�••„�''�.�., Notaiv.P�i4llc-StotNc�f� rel 1" '�� Commission H GG 190497 'Z Commission#G4 V0649Y '••91e•` 7 My Comm.Expires Feb 27.2022 •:•�,.""�•.-'` MIC4t+ncem.FEklniiu�s•Pt�i9'.T/.7EY,L2' "••OF'eN"Ort C rOUt3 8 1 RAIAI� 'CfC5t5d' Zi dr S�f1 v Revised 07/15/2014 REVIEWS CFRONT ZONING OUNTER REVIEW SUPERVISOR REVIEWPLANS REVIEW VEGETATION SEA REVIEW REVIEW MANGROVE �ViEW BATE COMPLETE INITIALS