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
C ® 4
Name: Joshua Schroeder
Name Michael Morton
Address: 5848 Bee Ridge Rd
Rgi;
'051
Address: 6724 Tulipan , Ft Pierce FL 34951
Legal Description: 6724 Tulipan, Spanish Lakes Fairways Blk 54 LOT 21 (OR 4137-2793)
Property Tax ID #: 1306-500-0274-000-8
Site Plan Name:
Project Name: Michael Morton
Setbacks Front Back: _
Remove Existing Shingles
Install Tri -Built Underlayment
Install Lomanco
Right Side: Left Side:
FL#16048-R6
FL#2847-R10
4/12 Pitch B -HIP
Lot No. 21
Block No. 54
❑ HVAC
❑ Electric
0 Plumbing
Total Sq. Ft of Construction: 2700
Cost of Construction: $ 10200.00
❑Sprinklers
LJ Shutters
❑ Generator
S Ft. of First Floor: _
Utilities:Sewer ❑ Septic
❑ Windows/Doors
ZRoof 4/12 Roof pitch
Building Height: 13
a
C ® 4
Name: Joshua Schroeder
Name Michael Morton
Address: 5848 Bee Ridge Rd
Company: Marzo Roofing Inc
City: Sarasota State: FL
Zip Code: 34233 Fax:
Phone No.
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:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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 requirea.
>UPI?L INS• N1"A.L CI i�51"RU: 'Il "1 `LJFN.> AW.v ' .I�N C ` i'"� 1; I
)ESIGNER/ENGINEER: ^ Not Applicable
MORTGAGE COMPANY: Not Applicable
Jame:
Name:
\ddress:
Address:
City: State:
State:
:ity:
Zip, Phone`
hhane:
TE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: —Not Applicable
Jame:
Name:
Address:
lddress:
City=
:ity:
'ip: Phone:
Zip: Phone:
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
✓hich 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.
i consideration of the granting of this requested permit, I do hereby agree that I will, in all resp ts, perform the work
i accordance with the approve s, the Flori . uilding Codes and St. Lucie County Ame me ts.
a li ation 're exem t from undergoing a full concurren revie . room additi ns,
he following building per pp
accessory structures, s mming p ols, ences, wall ,signs, screen rooms and accesso uses to nother non�teslden ial use
in
ce
NARKING TO NER: Yo r fa lure toRee of Commencema Notice of ent mu� a recnt o r d and p steel an the�jobpte
mproveme s to your pr petty.
)efore th irst inspect' n. If you Int o obtain financing, co ult with I der or an attor ey before
;omm cin work o t - rdin o r Notic of Commenceme
'�
grrature of Owner/Lessee/Contractor as Agent for Owner tu'te'of Contractor/License Holder
STATE of FLo STATE
IFLORIDA
COUNTY OF �Y3 LlL[.d'f -----
The forgoing instrument / as acowledged before me
The fp going instru ent was ackn wledgged, ere me this � day of .C,\ 20 � by
this. day of 20 (� [
(Nae of er pn acknowm
le gg )
Name person acknowledging)
g ure of Notary Public- State of Florida )
(Sig ature of Notary Pub = 5tate of Florida) 41--l"
OR Produced Identification
Personally Known
Personally Known
aOR Produced Identification ype of Ide if• a •o P o c d
Type of Identification Produced UtvTELEONE ":•j LISA MARIE MOD11061497
LISAMARIEM ` ($XEt r Public - Stateof Florida ommissloCommissiaro p T. .Commission No. ` ��" Commission I GG 190497 ."tip. .. aovC4ronwn..1EwiaiMyComm. Expires Feb 27.20Z'L
on e t rou.. a i
Revised 07/15/2014
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