HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
P 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: 170 Princess Dr Port Saint Lucie FLorida 34952
Property Tax ID #: 3419-520-0031-000-8
Lot No.11
Site Plan Name:
Block No. 136
Project Name: Andrew Garrigan
Remove existing shingle from the roof
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Install 5V Crimp 26Gauge Steel (FL17022.1)
New Electrical Meter Second Electrical Meter
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Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
_ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator �< Roof 1.5 /12 Pitch
Total Sq. Ft of Construction: 17 Sq. Ft. of First Floor: 17
Cost of Construction: $ 10000 Utilities: —Sewer —Septic Building Height:
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NameAndrew Garrigan Name:Joshua Shroeder
Address:170 Princess Drive Company:Marzo Roofing INC
City: port saint lucie State:'%- Address:861 SW lakehurst Drive
Zip Code: 34952 Fax: City: Port Saint Lucie
State: FL
Phone No.772-475-6733 Zip Code: 34983 Fax:
E-Mail: Phone N0772-871-2489
Fill in fee simple Title Holder on next page ( if different E-Mail marzoroofinginc@gmail.com
from the Owner listed above) State or County License CCC1 331207
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.
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ 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 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 re aying twice for
improvements to your pron
Notice of Commencement Re
st b corde n the public records of St.
Lucie County the j site before the first inspectyou iri to obtain ncing, consult
With Icnrlcr nr an nmop mpnring work or record' vour Ice t.
Ignature of Owner/ Lessee/ ontractor as Agent for Owner
gnature of Contractor/License Holde
STATE OF FL
STATE OF FLORIDA
COUNTY OF
COUNTY OF-C.
Sworn to (or affirmed) and subscribed before me of
worn to (or affirmed) and subscribed before me of
Physical Presencq or Online Notarization
Physical PreAence or Online Notarization
this day of 2020 by
this 4 day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Ide ificatio��, nn
Produced ►�
Produc Y1`v�
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(Si atur of No - a Eli a
toe f Florida
ignature of Notary Publi = cFl blaC1 MIRONCHLIK
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Commission NO. oQ Expi(��I��/2021
Expires 04/27/2021
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