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All APPLICABLE INFO MUST-BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��v�� D/C1 Permit Number: iJ/)
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Building Permit Applicatio V2,6 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St luc►e County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE: Re-Roof
PROP95ED IMPROVEMENT LOCATION;_-
7341 Marsh Terrace ort St. Lucie, FL
LOCATION:,—
Address: port-
Property Tax ID#: 3321-804-0028-000-5 Lot No.21
Site.Plan Name: Marsh Landing at the Reserve- Phase one- lot 21 Block No. WEI
Project Name: n/a.
PETAILED:DESCRIPTION OF WORK:
Complete removal&disposal of mrant root aovermps.mTkove and+e&-darnayed wood dedwv.Install new pobpass waterpw vapor Barrier umwaym m TN}Max
Install new 3X3 Drip Edge and new birdstop,replace all existing lead boots,replace all vent and ridge vents if needed,Install new Natural Gray style file.
Title to be secured by#8 Gatvantzed Screws.Arty Fascia to be repaired at w*a cost,materials only.Any extra wmk other than specified will be an a time are!metedals;basis.
CONSTRUCTION INFORMATION.
Additional work to be performed under this.permit—check all that apply: 7
_Mechanical, _Gas Tank _Gas Piping —Shutters —Window;/boors
_Electric _Plumbing _Sprinklers _Generator ✓Roof 1T )�— Pitch
Total Sq.Ft of Construction: 3 E Y Sq.Ft of First Floor: {
Cost of Construction:.$ 33,000.00 Utilities: —Sewer _Septic Building Height:
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OWNER%LESSEE: _ CONTRACTOR: t
Name Glenn R. and Annette B Dalrymple Name: Philip Coutu
Address:s Jayne Dr company:DBA Rooftop Roofing, Inc.
city: Phillipsburg, NJstate:_ Address:
108 Escalona Ave
! Zip Code•.08865 Fax: city: Pensacola state:FL j
Phone No. rip Code: 32503 Fax:
E-Mail: Phone No 720-296-3492
Fill in fee simple Title Holder on next page(if different E-Mail powerappraiseM@gr-nail.com j
from the owner listed above) State or County U nse -
If value of construction is$2500 or more,a RECORDED Notice of Commencement istequired.
If value of HVAC Is$7,500 or more,a RECORDED Notice of Cor,<lmencement Is required. av I
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIO17N
DESIGNE, ENGINEER Not Applicable , •MORTGAGApplcable
: Nt
Name: Name I
Address. Address:
City . State ity State: I
_.
Zip:- Phone Lp.` Phone:
FEE SIMPLE,TITLE HOLDER;: Not:Applicable BONDIKCOM.PANY: of Applicable
_ N
:Name: Name:
,Address: Address.
1 -
City City: 1
Zip:. Phone: Zlp:. Phone:
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OWNE _ CONTRACTOR AFFIDVITc y
R/ Application is hereby made to:obtain a permit to do the work and installation as indigted.
I certify that no work.or installation has commenced pronto the issuance:of a permit.
St.Lucie'Counttyy makes no representation that is'granting apermit will authorize the permit holder to build the subject stricture
which.is.in conflictwith'any applicable Home Owners Association rules,bylaws or and covenants that may restrict':orprohibit such
structure.,Please consult with your.Home Owners 4ssociation;and review your deed_for any restrictions which may apply._
In consideration of tkegrantingof this.requested permit,.I do hereby agree that will,-in all respects,perform the work
inaccordancewith the approved plans;the-Florida Building Codes:and St.Luce County Amendments:
The following building"'permit applications,areyexempt from undergoing a.full.conwrren.cy rev4W.Toom additions,. .
accessory structures„swimming_pools,fences;walls,.signs,screen rooms and access ory uses toanothernon-residential use
`W1►ARNING.TO,OWNER: YOUR,FARURE.TO:.RECORD A,.NOTICE OF COMMENCEMENT MAY RESULT;SII YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF-COMMENCEMENT MUST BE RECO AND
:POSTED ON;�THE'JOB SITE:BEFORE THE FIRST Pwww CTION._ !! INTEND TO-O AIN FNIANCING, CONSULT
W11 N O OR RNEY BEFORE RECORDING OF.0 CIEMENT.A:
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of'Contractor/License Holder' _-
STATE OFfL@RWA �oeoRgac� STA OF FLORA C tzO
::COUNTY OF:.a COUNTY F Jefferson
The for qmg instrument s acknowledged before me. . The fo ging instrument wasacknowledged before me
this r'day of.Jnd+iCtyLl�ir' .20 I� by.. this )y'd'"`ay of 1 oyembi4- .-2qj by
Philip Coutu Philip Coutu
p
- p rson making'statement:
Name of arson making statement;: `Name of e'
Personally Known x OR Produced Identification Personally Known x .
Type of identificatro EW
Type oftdentifiption
MARK ANDREW BONNE _ NOTAF�Y PUBLIC .
Produced Produced
UBLIC_: OLORADO
STATE OF COLORADO NOTARY 10 2018403903.4
NOTARY ID 20184039034 W COMMISSION EXPIRES OCTOBER 3,-2022
`a W COMMISSION EXPIRES OCTOBER 3;2022 - 777777
.,
(Signature of Notary Public State offbrtdih {Signature of Nota Public-State of
Notary co r0�dn OO; b.
Commission No:,20184039034_: (Seal) Commission;No.:20184039034 .. (Seal)
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REVIEWS FRONT ZONING SUPERVISOR' PLANS .VEGETATION SEATURTLE MANGROVE
DATE .
COUNTER: 'REVIEW..: REVIEW REVIEW REVIEW REVIEW _ ;: REVIEW,
RECEIVED
DATE
COMPLETED
re—v.2/7/19
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