HomeMy WebLinkAbout1- Permit ApplicationAll APPLICABLE INFO' MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/16/20 Permit Number:
- Building. Permit Application
Planning and'DevelopmentServices
Building and Code Regulatlon Division Commercial Residential
2300 Virglnia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Antonio R. Mariotto & Rachel R. Mariotto
PROPOSED IMPROVEMENT LOCATION:
X
Address: 957c; 1 au elwnnd Cnijrtf Fart PiPrrat FI I CRI
Property Tax ID #: 1327-701-0060-000-7 Lot No. 240
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTIONDF WORK:
Remove existing tile roof to the wood deck, renail wood, dry in with high temperature self adhered underlayment
install new valley, edge and counterflasAings. Install new concrete tile roofs stem.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total.Sq. Ft of Construction: 4,139 sf
Cost of Construction: $ 35,000.00
_ Generator
— Windows/Doors _ Pond
Sq. Ft. of First*Floor:
X Roof 6:12 Pitch
utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Anthony R & Rachel R Mariotto
Name:_ Chris Lona _
Address: 9525 Laurelwood Court
Company: The Roof Authority
City: . Fort Pierce —.State: FL•
Address: N. Old Dire Highway
Zip Code: 34951 Fax:
City: Fort Pierce State: FL
Phone No. (561) 371-5336
Zip Code: 34946 Fax: 777 -468 -7747—
E -Mail: trimeats@aol.com
Phone No(772) 468-7870
Fill in fee simple Title Holder on next page (if different
E -Mail tra1993 mail.com
State or County License CC C056933
from the Owner listed above)
If value of construction is 2500 or more, a• RECORDED Notice of Commencement is requirea.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone;
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made 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 permit.
St. Lucie County makes no representation that is granting a,permit will authorize thepermit 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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev be#ore
(�'aca_s 2 acl, &&-,
Signature o Owner Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STAT&F-El
COUNTY OF '>4 2-v`c 1 e _ COUNTY OF.
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 2 `day of ] 20 2-o by
Name of person making statement.
St. Lucie
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 25 day of June 2020 by
Christopher A. Long
Name of person making statement.
Personally Known OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced PSL- ckv-),r,�,cs i tans, Produced
Mon4S wo�- �v IAM V .-S N.
(Signature of Notary Public -State of Florida) (Signature of'Notary Public- State of Florida )
Commission No.Cy� 18a v�-
IJiimothy W. Sutton GG 185982
OTARY PUBLIC Commission No.
STATE OF FLORID
C, W, Sutton
Ry PUBLIC
ATE OF FLORIDA
REVIEWS FRONT ZLmw EXWKWSOR1 PLANS VEGETATION SEkWRTCE F WAMROVt t'
COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED