HomeMy WebLinkAboutBuilding Permit Application ALL 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 x
PERMIT APPLICATION FOR: Roof
PROPOSED IM�PROVEMENT.LOCATION:
Address: 1406 PLATTS LN, FORT PIERCE, FL 34982
Legal Description: PLAITS BRANCH LOT 4
Property Tax ID#: 2433-501-0004-000-2 Lot No.4
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION O:F 1N0'RK: -
REMOVE EXISTING SHINGLE ROOF
INSTALL Soprema Resisto underiayment,
Install IKO Cambridge lifetime shingles
Install Lomanoo ridge vent ,
Install3 Suntek SF glass skylights
7/12 PITCH
CONSTRUCTION INFORMATION`;
Additional work to e e orme under t is permit—c ec all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing OSprinklers 0 Generator W1 Roof
Total Sq. Ft of Construction: 3500 S . of First Floor:
Cost of Construction:$ 15,750.00 Utilities:n Sewer[]Septic Building Height: 13 FT
OWNER/LESSEE: CONTRACTOR:
Name Dorothy Chapman Name: GARY MARZO
Address: 1406 Platts Ln Company: GARY MARZO, INC
City: FORT PIERCE State:FL Address: 861 SW LAKEHURST DRIVE
Zip Code: 34982 Fax: City: PORT ST. LUCIE FL State:
Phone No.772-489-3102 Zip Code:.34983 Fax: 772-465-8829
E-Mail: Phone No. 772-871-2489
Fill in fee simple Title Holder on next page (if different E-Mail: GMARZOINC@AOL.COM
from the Owner listed above) State or County License: CC-C058193
L
e of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI LIEN LAW INFORMATION:
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 recording our Notice of Commencement.
s
_Signa ure f O ner/Lessee/ get
Signa e o on act r/Licens H er
STATE OF FL RIDA STATE OF F IDA
COUNTY OF St Lucie COUNTY OF St Lucie
The fying instru nt was acknowledgedJ�e ore me The forgoing instrument was acknowledged before me
thisday of MAO, 20 by this 25 day of JANUARY 2a AJ:by
David Vanderflier David Vande 'e
(Name of person acknowlecrgi g (Name of person 66&tledgin
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida )
Personally Known X °, 'E p FLIER Personally Known x Q4MQfy"PERFLIER
=o, 4 "7�Cv�11T -`` `
Type of Identification PI c " FFn44S5o Type of Identification Prod e ` ��. MY COMMISSION#FF099550
—iarr E6AAW4FS9I9A!„-- —
y,\o;ao�R�d!.: EXPIRES March 9, 2018
:-,. ...- ?; EXPI E March 9, 2018 N,,,,,,,,,
Commission No. EBF, ° (Seal Commission No. t���)a�oot53 �l otaryservlce.com
(407)398-0153 Florida otaryService.com
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS