HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
[LUCE
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Re-roof
Address: 288 NE Summer Road Port Saint Lucie FL 34983
Property Tax ID#: 3419-570-0057-000-1 Lot No.1
Site Plan Name: Block No. 79 ,
Project Name: Michael Barton
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D' L D D SAC I®� �' Q=R P• � � - `�
Remove existing BUR on flat.roofs&Cedar shakes on steep slope
Install elastoflex SAW SAP FL# 1654-R22
Install IKO Dynasty shingles FL#17800-R2 Install Tri-built modified underlayment FL#16048-R6
New Electrical Meter Second Electrical Meter
C�. . -. I = p -r N•
Additional work to be performed under this permit—check all that apply: 'I
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/D6iors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof 01.25/12 Pitch
Total Sq. Ft of Construction: 42 SQ Sq. Ft. of First Floor:
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Cost of Construction:$ 26,200.00 Utilities: —Sewer _Septic Building Height: 18
21 r .
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Name Michael Barton Name:Joshua Schroeder u
Address:288 Ne Summer Road Company:Marzo roofing Inc
City: Port Saint Lucie State:_ Address:861 SW Lakehurst Drive
Zip Code: 34983 Fax: City: Port Saint Lucie f' State:FL
Phone No.772-528-3619 Zip Code: 34983 Fax: l
E-Mail: Phone N0772-871-2489
Fill in fee simple Title Holder on next page(if different E-Mail marzoroofinginc@gmail.com l
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: I�Not Applicable
Name: Name:
Address: Address: II
City: State: City: State:
Zip: Phone Zip: Phone: 'N
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: I Not Applicable
Name: Name:
Address: Address: P
City: City:
Zip: Phone: Zip: Phone:
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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 whici 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. I
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: or
or
improvements to your property. ice of Commencement must be record ublic recor of St.
Lucie County and po ed o job ' e before the first inspection. If you ' nd t fain financ' g, consult
with lender atto n befor ommencin work or recordin o otice Com i
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Si o Owner/Les ee or as Agent for Owner ;ATE
ature ract r icense er''I
STATE OF FLORID OF FLORIDA .
COUNTY OF C_ COUNTY OF �JC C_
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Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and suVcribed before me of
P ysical Presence or Online Notarization P�Yslcal Presence or I nIine Notarization
this M day of 52`�r1�n�2+� 2020 by this "1 day of 2020 by
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Ide
n 'fcation Type of Identification
Pro
d d Produced
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(S' nature of Not ��o c-St t1gRfp6Lg6idat4 or FloridaIt (Sig ature of Notar l a ab'topiit�OCHUK
ADOLI MIRONCHUK i r c My Commission GG 098831
_ as My Commissi 098631 �bFFI°a Expires 03/ 20 1
Commission No. ° ;resoa�27 Commission No. a
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTILE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEWI' REVIEW
DATE
RECEIVED
DATE
COMPLETED
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