HomeMy WebLinkAboutPERMIT 1907 ROYAL PALMALL 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: qo -? at Q ►►'i _b -.
Legal Description. d ahs Fic5l Lk,
Property Tax I D #: _ 4C11 -- G(� C4- 36 JIt - q _ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back
Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: I
e ct - Of F1
un.A.- IaLfrrney'A
V�_6a4 and I'n,54ail ruvj f -4 an c3
CONSTRUCTION INFORMATION:
AcId itional work to b
[rtormed under tis permit - check all apply:
EHVAC I-1 Gas Tank Gas Piping MGenerator
Shutters aWindows/DoorElectric Plumbing O Sprinklers Roof Roof pitch
Total Sq. Ft of Construction: 22 4 /�1�� S�Ft.j of First Floor:
Cost of Construction: $ 3 100 Utilities: L_ISewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ,' r? Or
Name- ria prrl
Address. 9503 C " a►174
Company: TREASURE COAST ROOFING
City: f7o f __Pz�rce State:
Zip Code: ? Fax:
Phone No. :Zoe- C- o /o
Address: 1816 SW BILTMORE STREET
City: %-76,-A r",-G State: FL
Zip Code: 34984 Fax: 772-343-8358
Phone No. 772-370-9770
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: TCROOFINGLLC@GMAIL.COM
State or County License: CCC1330653
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 1816 Sw BILTMORE STREET
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 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 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 recordiniz vour Notice of Commencement.
�
1
Signa ure of Own Lessee ontractor as Agent for Owner
Signature of Contraetor/Li a Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sT LcuIE Ej f `ue![�
COUNTY OF sTLuae
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this �(� day of P/1 2QZ by
this L!� day of 2Q�G_ by
BRIAN J MALONEY
BRIAN J MALONEY
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of identification
Produced
oe
Produced
Signature oTNotary Public- State of Florida)
1gn,ature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
II ..�:lY�,c,. JOSHUA REDHEAD II
JOSHUA REDHEAD
,tary PL1hllC-State of Ftori
My Commission Expires
March 13. 2023
My Commission Expires
March 13, 2023