HomeMy WebLinkAboutPERMIT 5015 PALMETTO DRALL 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: 0
Legal Description: " "IZ• uu- G ni
Property Tax ID #: 3qo O 0o, d ioz o ~ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
r00T and in5Its
a n a u n dar•�c,� nR�� .
CONSTRUCTION INFORMATION:
Additional wor - to be oerformed under
aHVAC
this permit —check
Piping
all
apply:
Shutters
Q Windows/Doors
Gas Tank
Gas
0
®
Electric Plumbing
Sprinklers
Generator
Roof S �a? Roof pitch
Total Sq. Ft of Construction:— V 8r,2A
S
Ft. of First Floor:
0
Height:
Cost of Construction: $ S [zoo
Utilities.
Sewer Septic
Building
OWNER/LESSEE:
CONTRACTOR:
Name it VC
Name:
Address:
Company: TREASURE COAST ROOFIN
City: T" o r 4 4 f P State: f
Zip Code:3q 58a Fax:
Phone No. 30S -797 " 113ol _._
Address: 1816 SW BILTMORE STREET
City: ) b s 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
if value of construction is 52500 or more, a REGVRDeD Notice or Lommencemenz is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGINEER: 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: 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
structurin e. Please conisult withyourHome Owners Association rs a d retion viebylaws ur deed for any rrestrictions
ts tr ct that
which maor
apply Ibis such
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
rnmrnpnr.ina work or recording; your Notice of Commencement.
Signature of Owner/ Lessee/Co r or as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST LCUE
The forgoing instrument was acknowledged before me
this /.Z day of ��'.� 20.4 by
BRIAN J MALONEY
Name of person making statement
Personally Known x OR Produced Identification
Type of 10entification
Signature of Contras Licgso-Ider
STATE OF FLORIDA
COUNTY OF ST Luce
The for oing instrument wa acknowledged before me
this day of C 20.20 by
BRIAN J MALONEY
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
vv v a u of Notary Public- State of Florida)
(S nature of Notary Public- State of Flor'
Victor G Alt®rizi 27 �14
Commission No. 7y� �' (S notary Public, Stata®5120i n No. (Sea{}
My....mission Expires 1!a 92
Motor G Alterizio
Gamrnisalon No. GG 2�
lres 11
REVIEWS FRONT i1cfGT�- SUPERVISOR PLANS VEGETATIO SVTCOUNTER REVIEW REVIEW REVIEW REVIEW W
DATE
RECEIVED
COMPLETED_
Rev. 8/2/17