HomeMy WebLinkAboutApplicationALL 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: Roof
Address: 153 NE Tunison Ave,
Legal Description: River Park Unit 9 -Part A BLK 77 LOT 16 (MAP 34/28N) (OR 964-2619)
Property Tax ID #: 3419-560-0038-000-1
Site Plan Name:
Project Name: Joan S Hashem
Setbacks Front Back: _
Remove Existing Shingle from Roof
Install Soprema Resisto Underlayment
Install Lomanco
Install IKO Dvnastv Shinqles
HVAC U Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 2100
Cost of Construction: $ 8842.50
Right Side
unser tnis permit — ci
❑Gas Piping
E]Sprinklers
Left Side:
21 SQ 5/12 Pitch
apply:
_ Shutters
Generator
Sq. Ft. of First Floor: _
Utilities: Sewer OSeptic
Name Joan S Hashem
Address: 153 NE Tunison Ave
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone No. 772-528-3619
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Joshua Schroeder
X
Lot No. 16
Block No. 77
QWindows/Doors
❑✓_ Roof 5/12 Roof pitch
Building Height: 13
Company: Marzo Roofing Inc
Address: 861 A -SW Lakehurst Drive
City: Port St Lucie State: FL
Zip Code: 34983 Fax: 772-465-8829
Phone No. 772-871-2489
E -Mail: marzoroofinginc@gmail.com
State or County License: CCC -1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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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:
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 record your Notice of Commencement.
re of Ow essee or Agent for Owr
STATE OF FLOR��
COUNTY OF
The forgoing instrument was ack, owledged before me
this 10day of 20 2:�ay
(Nam of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known +44iMe
Type of ldentificatio W Iced LISA :tiiARl=-ti'OhTELEONE
-. ...
` Commission = GG 190497
Commission No. '.'F :'`` b'v Cor,r,. EJSearpb 27, 2022
Bonded t^ p%.a`, 'xa:bnal Notary Assn.
Revised 07/15/2014
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Signature of Contra 'c r— — -- —
STATE OF FLORIDA
COUNTY OF
-�
The forgoing instrument was acknowledged before me
thisO day of 20 '2-0 by
('Name of peron acknowle'YIA(G ' )1'2
ature of Notary Public- State of Florida )
Personally OV\tF .. I A , 1 IE M.Of✓TELEONE tion
Type of Ide ifiPrWig StateoFF!ml
.�dd
Commission= GG 190497
COmmissi0 dFc i, \` My Comm. Expires Feb27,(Seal
n e roua National Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4738852 OR BOOK 4457 PAGE 1903, Recorded 08/07/2020 10:25:18 AM
NOTICE OF COMMENCEMENT
To be completed when construction value exceeds $2,500.00
PERMIT#. TAX FOLIO # 3419-560-0038-000-1
STATE OF FLORIDA
COUNTY OF Port Saint lucie OISM.A
The undersigned hereby gives notice that improvement will be madeto certain real property, and in accordance with Chapter 713, Florida
Statutes, the following Information is provided in this Notice of Commencement.
LEGAL DESCRIPTION OF PROPERTY (AND STREET ADDRESS, IF AVAILABLE):
RIVER PARK UNIT 9 PART'A' BLK'77 LOT 16 (MAP 34/28N) (OR 9642619)
GENERAL DESCRIPTION OF IMPROVEMENT: REROOF
OWNER INFORMATION OR LESSEE INFORMATION, IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name: Joan S Hashem
Address: 153 NE Tunison Ave Port St Lucie, FL 34983
Interest in property: Kt=0'ut:Nur-
Name and address of fee simple title holder (if different from Owner listed above):
CONTRACTOR'S NAME: MARZO ROOFING, INC. Phone No.: (772) 871-2489
Address: 861 A- SW LAKEHURST DRIVE PORT SAINT LUCIE FL 34983
SURETY COMPANY (if applicable, a copy of the payment bond is attached):
Name and address:
Phone No:
LENDER'S NAME:
Address:
Bond
Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13
(1) (a) 7, Florida Statutes:
No.:
Address:
in addition to himself or herself, owner designates
receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statues.
Phone number of person or entity designated by Owner:
Expiration date of Notice of Commencement:
(the expiration date may not be before the completion of construction and final payment to the contractor, but will be i year from the date of
recording unless a different date is specked):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1 SECTION 713.13t FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I d clar�tthhat ve r ad the foregoing and that the facts in it are true to the best of my knowledge and belief.
Si ture Owneror.Lessee, or r lessee's Authorized Officer/Director/Partner/Manager/Attorney-in-fact
Signatory's Title/Office
The foregoing instrument was tacknowledged before me this day of 2D
BY: 5 i lC M as 0 t"m ylle - for
A Name of person Type of authority (e.g. officer, trustee)
Party on behalf of whom instrument was executed
Personally known 1-3 or producedfdentlficatlon Com"
otar\/s Signature Type of identificati n o c
LISA MARIE MONTELEONE
(Print, Type, or Stamp Commissioned Name of Notary)
6`- NotaryPublic-StateoFFlorida
r = Commission # GG 194497
-_ My Comm. Expires Feb 27.2022
T:\BI D\Bldg_Forms\New Applications\Forms\Notice Of CommencementDocx Bonded through National Notary Assn.
Rev. 9/15/11