HomeMy WebLinkAboutPermit AppALL 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
2306 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: S q 0 S — S_U n52 -1-B it, ++
Legal Description: ---CA '� ' IJ2r
Property Tax ID #: <4 0 ' 6d9 �G + " 3 Lot No. i
Site Plan Name: Block No. 7
Project Name'
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
re,p,- o ¢ exli ir19 r4l0J OA C4 %n r74G� Y]�v✓ . ✓+
ONCl
CONSTRUCTION INFORMATION:
Additional workto ffea ormun er this permit – c ec a appy:
1.�HVAC as Tank F]Gas Piping 1:1_ Shutters Q Windows/Doors
11 Electric Q Plumbing Sprinklers ElGenerator ® Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
OWNERAESSEE:
/ $ 3c�
% Uou
SQ. Ft. of First Floor:
Utilities: Sewer 11 Septic
Name /dI (i' �f W leV
Address: �� vn�G V
City. State: Fe
Zip Code: 3 yet y Fax:
Phone No. _ ydC� 1421P
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name: / 1 rlG•4 nch?!2 &
Company: TREASURE COAST ROOFING
Address: 1816 SW BILTMORE STREET
City: poet S UP/ State: FL
Zip Code: 34984 Fax: 772-343-8358
a1,r,na Nin 772-370-9770
E -Mail: TCROOFINGLLC@GMAIL.COM
State or County License: CCC1330653
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
Z
Signature of Own e rkk6ssee/Copfactor as Agent for Owner
Signature of Contractof/Licensf Holder
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ _ Not Applicable
Name:
The forgoing instrument was acknowledged before me
Name:
thisZy day of r 2(l 20 by
Address:
BRIAN J MALONEY
Name of person making statement
Address:
Personalty Known x OR Produced Identification
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW
Name:
REVIEW REVIEW
Address: 1816 SW BILTMORE STREET
Address:
City:
City:
Zip: Phone:
Rev. $/2/17
Zip: Phone:
„Illn JOSHUA REDHEAD
`;d e( Notary public -State of Florida
;fig*�YP�®(�•^Notary public -State of Florida
# GG 311365
commission # GG 311365
...i;r-s i—I
1
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit m UU L„C 4VuR ai u 1,.>«
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 9ermit holder to build the subject structure
swhich is in tructure. Pleasecconisultwith pyourHlome Owners Association andiation reviewdeed for aor an ny restrictions may
which rmaor
aprohibit such
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 undergoing 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 recording our Notice of Commencement.
Z
Signature of Own e rkk6ssee/Copfactor as Agent for Owner
Signature of Contractof/Licensf Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFS;r-��/ 5/ I.g2e-R
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _?–f day of /�dri l 2026 by
thisZy day of r 2(l 20 by
BRIAN J MALONEY
BRIAN J MALONEY
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personalty Known x OR Produced Identification
Type of Identification
Type Identification
Produced
Produced
Xig4natur'e of Notary Public- State of Florida)
( nature of Notary Public- State of Florida
Commission No,'! -431136S (Seal)
Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW
COUNTER REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. $/2/17
.YPUl,, JOSHUA REDHEAD
„Illn JOSHUA REDHEAD
`;d e( Notary public -State of Florida
;fig*�YP�®(�•^Notary public -State of Florida
# GG 311365
commission # GG 311365
_. *= Commission
Maroh 13, 2423
'"'MR.77 Marek 13, 2023