HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO,MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' ' Permit Number: ®a� A I
• RECEIVED
Building Permit Application FEB o 5 2020
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
PROPOSED IMPROVEMENT LOCATION:
Address: 5109 San Diego Ave, Ft Pierce FL 34946
Legal Description: 5109 San Diego Ave, Ft Pierce FI , Harmony Heights ADDN BLK Q LOTS 4 AND 5
(or 613-1151:657-2194:1259-632)
Property Tax ID#: 1431-701-0289-000-8 Lot No. 4&5
Site Plan Name: Block No.
Project Name: Elsa Johnson
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove Existing Shingles Install SAV/SAP 2 SQ to Flat Roof
,Tamko Moisture Guard Underlayment Install 1 Maxim CM Polycarbonate Skylight
Install Lomanco 5/12 Pitch Hip Roof
Install IKO Dynasty Shingles
CONSTRUCTION INFORMATION.
itiona work to be nertormed under this permit—check all appy:
11HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric Plumbing Sprinklers 0 Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 4200 SFt. of First Floor:
Cost of Construction:$ 20575.00 Utilities: Sewer ElSeptic Building Height: 20
OWNER/LESSEE: CONTRACTOR:
Name Elsa L Johnson Name: Joshua Schroeder
Address:5109 San Diego Ave Company: Marzo Roofing Inc
City: Ft Pierce State:FL Address: 861 A-SW Lakehurst Drive
Zip Code: 34946 Fax: City: Port St Lucie State:FL
Phone No.772882-0233 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.
I IPPL!E-M-'E til-'AL•CO.N'ST,O9(�-" 1`Cf' ''1;1 .> fif fi F00
-ESIGNER/ENGINEER: _Nevi Applicab___1 ®RT4nAGE Ct) lilP'Aln91P• -^ -� Not Applicable _..
ame: -- Name:
ddress: _ —_- _ Address:
City:
Mono:
EE
EE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: - - ---------Not Applicable__.._...
ame:._._._ Name:
ddress:
City-
P: Phone: . Zip: !phone:
certify that no work or installation has commenced prior to the issuance of a permit:.
Lucie County makes no representation that:is granting a permit will authorize the pert-nit holder to build the subject:structure
hick is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict:or prohibit such
ruct:ure.Please consult with your!-tome 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 I will,in all respr1 ts, perform the work
accordance with the approve s,the 1=tori 3uilding Codes and SL. Lucie County Ame me
to following building per appli anon rtre exem t frarn tandergoing a full concurren revie . room add"rtns,
xessory structures,s mming;p ols, ences,wall ,signs,screen rooms and aecesso uses to nother non.t�esiden ial use
DARNING TO NE1R;'Yo r falure to Re ori!a Notice of Commence nt may r It in yo payin twice for
nproveme s to your pr perty. of e of Commencement: mu , e recurd and p sted o the jobsite
efore t:h _ irst inspect:; n. If you int o obtain financing, co ult with le der or an at-tor ey before
omm cing.work op(ecordinNotic _ of Commenceme
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d(ffi ure of owner/Lessee/Contractor as Agent:for Owner >iS j rratu of Contractor/License!-lotder
;TATE OF FLOW _ STATE OF FLORIDA
x>a enrrOF _:.�v O
7 he f r,ping instru c yye�t was acfcnowtedged before me The for ging inst:ru�meent was acknowledged before me
this 20A_._by this day of_ GC znt .by
(Name f person acknowledging;} (Name of person acknowledging)
(Sig ature of NOt:ary PUb 'SCiatG of f torida) 4(Signre of Notary Public-.Siwl:e of Florida}
Nersonally Known OR Produced Identification,- Personally Known OR Produced Identificatior).__- -- -
Type of identification Produced ype of!do if a''o R' o tc d
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LISA MARIE MONTCLUONk 'Mr, LISA MARIE MONTi:I;t t
Commission No. _`�."^��;a�^`_ (Uwr� Njblic StateofFtorlda ommis5lo :�Crt„ti,., �I�Szt2[ytsthlic-•Sta4�df� 8�1
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