HomeMy WebLinkAboutBuilding Permit Application i
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A�L APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �
Date: 1 0\31 �`� Permit Number: 1c\�4 "013
=RECEED
Building Permit ApplicationPlanning and Development ServicesBuilding 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 - S�`d
PROPOSED:IIUI°-ROVEMENT LOCATION:
Address: 1008 Buckeye Drive, Port St Lucie FL 34982
Legal Description: White City W 80 FT OF E 80 FT OF N 131.25 FT OF S 1/2 OF OUTLOT 7-LESS S 25 FT FOR
RD RMI-(0.20 AC) (OR 648-2891)
Property Tax ID#: 3404-501-0537-000-0 Lot No.7
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Site Plan Name: Block No.
Project Name: Diane D Waters j
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION°OF WORK:
Install Sap/Sav to Flat Roof FL#1654-R22 3 SQ
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CONSTR'UCTIG)N`INFORMATION:
Additionalwork toe e orme under t —checkispermit a appy:
HVAC 11 Gas Tank ❑Gas Piping Shutters a Windows/Doors
3/12
Electric '0 Plumbing O Sprinklers �Generator �Roof � Roof pitch
Total Sq. Ft of Construction: 300 SFt. of First Floor:
Cost of Construction:$ 2200.00 Utilities:11 Sewer ElSeptic Building Height: 13
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011VNLESSEE: CONTRACTOR:
'ER/
Name Diane Waters Name: Joshua Schroeder
Address:1008 Buckeye Dr 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.772-777-6248 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
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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UPPLEM1 I NTA-L CON'S TRM':1: t1, .IAW, INfO�"MATI;ON
,ESIGIIIER/ENGINIEER:��- ._ Not:Applicable MORTGAGE COMPANY: _-�-� Not Applicable 1
ame: !Name:
ddress: Address:
it:y: _ '__ _—'-State: -- City;
p• Ip' Phone:
EE SIMPLE TITLE HOLDER: ._ _ Not Applicable BONDING COMPANY: �_^Nat Applicable- T
ame: Name:
Address:
P: Phone:_- zip: _.... __.Phone: _-
certify that no work or installation has commenced prior to the issuance of a perrnit.
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 covenant_%that may restrict or prohibit:such
ructure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply, �
consideration of the granting of this requested permit., i do hereby agree that:t will, in all resp P 's,perform the work
accordance with the approves I s,the I-tori 3uilding Codes and St:. Lucie County Ame me t:s.
to following building per -appli abort. fr exem t from undergoing a full concurren revie . room ad)Oe
��,
;cessory structures,s coming p ols, Prices,wall ,signs,screen rooms and accesso uses to•nother noal use
ifARNlNG TO NER:Yo r fa lure to Re e�rd a Notice of Commence nt may r alt in yo ice for
nproveme s to your pr perky. ot• e of Commencement rnu_. a recor d and p sejobsite
efore th . irst inspec9 n. it:you int -a obtain financing, co ult with I der or an at:tore
omrn cine worka t•ecordl9 a r Natic _ of Commenceme .._._____.____._i.__-_
°', �W/ __•-� `..'_.-•_�,�^� �_..._w.... _.._._ C S
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pg lure of OwnerJLPssee/Cont:ract:or as Ager t for Owner 'SI;fTatGt`P of Contractor/License Holder
:TATE OF FLOIVSTATE OF FLORIDA
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,[,he f o' g inst ,M:, '�a.y acknowledged k fore me The ff g ing inst' m�r�1 `�tras cknowledge fore me
( C11i`�..i�?� 20 .I.._ this �!1 day of��,1 -_ _...-..__,zo by
this_. __day of-___—_—___.�-_.___._ Y
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a(Nameofson acknowledging} ameof p son acknowledging)
NOt:ary Pub 5L'u'u of Floride) (Sid :are of ot.ary Public state of Florida}
_ Produced identification I-^
Persorral{y Known. OR Produced Identification., —_ Personally Known OR ,_ __._._._
Type of Identification Produced ype of Ide if'o N o~Ac d
,.;s vas• LISA MARIF.MOtvTEI.EON[ .;.; '� LISA MARIE MONTI3lgQ� T'f
. :^' rt 1J-21arY!?3tYilic •5tAtetlr�hfPlHIS�I
SXpA(r}/Publlc:• State of i-tarkia ommissio '_
t;ornmission Na. ti�* •' ( commission')C;C719049'I
?rp ', = My comm.t xr�lrer.Feb V.2027w,�� Camwm,.t£cpi Commi%sioo� C40 9�}�
or:�•:.
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Revised 07/15/201.4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TUR'T'LE MAN ROVE
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DATE-
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INrnALS
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