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Building Permit App
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED nate; i5 N Plonning and L)evejopment Services Building rind Code RegufatiQn Division 2300 Virginia Avenue, Fort Pierre FL 34.982 Phone: ,1772) 462-1553 FaY.:(772)462-1578 0/ �� Vo V6 kco�_ Permit Number: 2006-06/9 Commercial Residential X PERMITWPE: Re -Roof (existing home) Address: 9(il � Lznclave, Port St.Lucie, FL 34983 Property Tax, !D #. 3322--800-0008-000-0 Site Plan Name: -Richard Residence Project Name: Lot No. Black No. Remove and replace existing roof; from cement the roof to metal- (see product approvals) Upper sund . eck roofing materlais; remove and replace with new materials undedayment and add new granubr surface. (See product approvals-) Additional work to be performed under this permit -check all that apply: _Mechanical Gas -dank Gas Piping Shutters Windows/Doors Electric Plumbing Sprinklers Gznerator Pitch 'Total Sq. Ft of Construebon: Cost ©f Construction.$ 3 57-, 00 6-C, A'�— Sq. Ft. of First Floor: Utilities: —Sewer — Septic 111.1ilding Height: it value �t construction is �z5uo or move, a REcoHDED im Klee of Commencern;snt is required - If value of HVAC is $7,500 or more, a RECORDED Notice I Commencement is required. _5C 9 TRA Name Gary Richard Narne.�3%javN 1"k C�_ C,+ Address: 64 Garner LN Company -'_T_0_:L4L KAw(, A f' i; Address: ,;I.C) I _'S r: 0 Cx, C,rA_ 1-e ra City: Bay Shore New York State: Zip Code: 11 T106 Fax: Phone No. 516-807-4645 City: State: Zip Code: 3tj 5 9 Fax: Phone C-7 zz � E -Mail: Fill in fee simple Title Holder an next page (if diffeieera j from the Owner listed above) E -Mai tate CBC County License (LC 1 it value �t construction is �z5uo or move, a REcoHDED im Klee of Commencern;snt is required - If value of HVAC is $7,500 or more, a RECORDED Notice I Commencement is required. _5C 9 ESIGNERIENGINEER: Not Applicable Name: Address: � ��..._._ Csty: State. _�.. Zip Phone,#.._.._ EEE SIMPLE TITLE HOLDER- Not Applicable Narrte: Address: _ � V! �. City:_ - ?ip: Phone: 9en5I 2 cc MORTGAGE AGE COMPANY: —Not Applicable Name: r Address_ _ City_ _ A_ State:_ lip: _ _ _ _ Phone:f BONDING COMPANY: Not Applicable Name: Address: Ai City: Zip: _ _._ Phone. OWNER/ CONTRACTOR A Fe VIT. Application is hereby mare to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a per, tit_ St. Lucie County� makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in tonflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Horne owners Association and review your deed for arty 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, Lie Florida Building Codes and 5t. 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 accessary uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOM PY C 110E FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT CRUST BE RFC ED AND .SATED ON Tiles JOB S, HE FIRST WSPECTION. IF YOUR TO OBTAIN FINANCING, CONSULT WJITH IJR A ORNEY BEFORERECORDING DING YOUR2 NO I- 4F COQ EM }° f } i t Signature of Contr ctrlr icense Hold r €� Signature of� e "see%Contractor as Agentfor Owner SK'AT'E OF FL A STATE OF EL I A . COUN E COUNTY OE ri vG-t i r,\ I The far Ding instrumept as acknowledged before me this day of ^����2OXby The fo ffa^Instrument was acknowledged b fore me 1 this _ �� day of ZC� �i y � . Marne of p .rsor making statement. w Na�am �of }person making stat�nt. i Personally Known OR Produced Identification °� Type of identif° i ProducedY_ a Personally Known � OR Produced ldentifcation Type of Identification _--- isignal i of Notary Public- State of ori a ' , - �� : 4 JOSH t�l q_I.. ;. natu of Notaryj�61ic- State of Florida)' n f Y:Dtanf i� �bfic. .i^ cc, mmission iso. ^ }" CO r;liSs'Ioalk e of Florid � fiiilSS n No. ("( 3 �� ;Sea{} sFmm. s>i ua titsr 1U2? ti (�REVIf'11ttS � FRONT ZONING SUPERVISOR � PLANS VEGETATION SEA TURTLE MANGROVE I COUNTER REVI£W REVIEW i REVIEW REVIEW REVIEW REVIEW --- RECE:IVEI? l s DATE _� i COMPLETED ev. 2 Jun 17 20, 1220p Gary Richard 6316655553 PA AuDding! 5cCodeRtgulaflans Dlv4ian P I WN`frgljslo.#.w. Fort pit"g.,fl, 14410 CHANGE OF COINTH-m--ToR Or StIbro-atrattor or anman Of !�Crmjt Cflant--; tit' Uantralwv iB I& bt imrpleivd h the a z s Gvnw., and vie new ceoummr ofruc"4 for III,; MrWilt 11cliniL A nciv permit zpplia"Wrl lyful'i 4'sNU br nLw- �Oqtracwr iplbflrmiun. XPI IrW-'Idal- A new Notia of Cummktace-mrat w he fed in the new "vRraCz*wl.q name for job values -'reater than S�,,.zWj tV-5011 if Wit:' `Chaage-autjY A rocordtd copy muq be %bMinc-d prlor to -cammealaag any %iork. Subcoranwtvc ch-,mYglev, 1= bc coMkial, by thu gentzal -t canwIlatiom of pm-mlft is Ul Be4eailtd hy both th': on-tivr alld A�UaWkr xW rei;uf4- Date: --t- - Perlolt Number: Sitt Afldre%s, -, VLf±-s&d"-- -Lie, tit er Stale AV— cc, j 33 0, -7-5, q -T, MIV Yg-fitly?.. Vc lm:h 24-ae lCriebyzi, - guc to from -,11i cpq7,, iir 4a:tnidge4 iauitigfrac msriv are i y a aii n is n Uftorthis lin pr 'f wo, Z LL �2 SUft of fftWlfo* 1191W WbK WM01100mialm (blamw in &Mk MMM"ka &PiW=C"WA M.0 SL