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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/2/16 Permit Nurnber: RECEIV-D FEB 16 2017 wiry- Building J 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 IMPROVEMENT LOCATION: Address: �-t 3 1Uo r-�fn O�� i�,C.i Q. jh),Q Legal Description: Cf 1Gj,),1 he,✓ IG,in- Q I V 8 H eJ 1 C4 'rs � Gtr uA ne c,a►'C ed p14 -60-0 </ a -- 34(- ga Property Tax I D#: 1 C &5�— BYO Q 00 d— Uzi 0 �'{ Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION-OF WORK: TEAR OFF EXISTING ROOF. INSTALL NEW 5 V METAL ROOF WITH PEEL N STICK UNDERLAYMENT CONSTRUCTION INFORMATION. , Additional work to be nerformed under tspermit—check all that appy: . HVAC' 0 Gas Tank ❑Gas Piping _Shutters a Windows/Doors Electric F1 Plumbing []Sprinklers E Generator Roof Total Sq.Ft of Construction: a 7J_3 Sq. Ft.of First Floor: Cost of Construction:$ J -71, 3_0 a Utilities:Sewer 0 Septic Building Height: 1 OWNER/LESSEE:. . . '. CONTRACTOR: Name jrrer Name: BRIAN J MALONEY Address: :?6 9. JVC31,_,al 00 N A,iQ, UWU Company: TREASURE COAST ROOFING City: r—..-.k State-FL Address: 1816 SW BILTMORE Zip Code:,3 q'9 q 6 Fax:NIA City: PORT ST LUCIE State:FL Phone No. Zip Code: 34984 Fax: 772-343-8358 E-Mail:NIA Phone No. 772-370-9770 Fill in fee simple Title Holder on next page(if different E-Mail: TCROOFINGLLC@GMAIL.COM from the Owner listed above) State or County License: CCC1330653 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION 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. 7"'�--1 S _Signatur of Owner Le ee/ g t Signature of Con or is ofise H STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ,S c COUNTY OFL i =ef The forgoing instrument as acknowledged before me The forgoing instrume was acknowledged before me thisday of 20 �by this day of 20 by (Name of pers wledging) (Name of person ac edging) q��-000Odd61111! {Signa N PuV6 t tori .j� (Signature Pub is-State of Florida) Qs, ° . ©ti °gS�ON EXp�9��cc /�! 1tR-0S-0IS631iP Personally Known QUOt2��r�o i� ed fd'entification Personally Known OR Prcobk&v&ifild$gf Type of Identificati 6od2raeType of Identification Produced} 20r8s', `^ 0 122 v- �2. Commission No. !FF ear5�'e Commission No. a� ro� (Sal) •e oe 4 Revised 07/15/2014r1666e66�`�0, ,y{ p � REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS