HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
f /Date: I rz ` Permit Number: 1 2 n I (G5
RECEIVED'
MOM
Building Permit Application DEC 0 9.2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof v
PROPOSED I'IVIPROUEIVIENTLOCA N_.
Address: 330 NE Solida Dr, Port St Lucie FL 34983
Legal Description: 330 NE Solida Dr, Port St Lucie River Park-Unit 9 Part C BLK 72 LOT 29(MAP 34/28N)OR 3278-2282
3290-2368)
Property Tax ID#: 3419-570-0007-000-6 Lot No.29
Site Plan Name: Block No. 72
Project Name: Deborah A Dixon
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLES INSTALL 1 SOLAR TUBE 10" DOME
INSTALL TRI-BUILT UNDERLAYMENT 27 SQ 4/12 PITCH ROOF
INSTALL LOMANCO
INSTALL IKO CAMBRIDGE SHINGLES
CONSTR+UCTI}ONINF®RIVIATION"
Additionalworkto e r e orme under this permit—check a appy:
HVAC 11 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
0_Electric 0 Plumbing �Sprinklers E]Generator Z Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 2700 S Ft.of First Floor:
Cost of Construction:$ 10650.00 UtilitiesInSewer Septic Building Height: 13
OWNER/LESSEE ,,." CONTRACTOR: .
Name Deborah Dixon Name: Joshua Schroeder
Address:6304 LaSalle Rd Company: Marzo Roofing Inc
City: Delray Beach State:FL Address: 861 A-SW Lakehurst Drive
Zip Code: 33484 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:ER/ENGI NEER: Not Applicable MORTGAGE COMPANY: Not Applicable
SUPPLEMENTAL
Name:
Address: Address:
City: State: City: state:
Zip: Phone: Zip:_Phone:
FEE SIMPLE TITLE HOLDEN: 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.
St.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
structure. 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 respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from under-going a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or re in your Notice of Commencement.
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Signature of 0,Wd&1Less dPGTT!-tractor as Agent for Owner Signature of Co or/
4—, —
STATE OF FLO DA STATE OF FLORIDA
COUNTY OF_ COUNTY OF
The foAoing in�s=ment was acknowledged k-fore me The f oing ingrpment wa acknowledged before me
this__-f day i�f -m be&-, this day of 20 by
(Name of person acknowledging ;N me L?Jperson acknowledging
'Kghature of' Y Pub ub State of Florida 'Kg_nhture of Notary Public-State of Florida
Personally Known 70R Produced Identification Personally Known (.,X OR Produced Identification
Type of Identification Produced, ype of Ide riffi a 'o P c
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LISA MARIE MONTELEONE V. LISA MARIE MONTUL
Notar�Publi -statea8SPI
Commission No.clwa ho 4cl-I Nea&Public-state of Florida ommissio
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MX Comm..Expims-F66:2,1,Z621
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Revised 07/15/2014
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