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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 601 NG_4
RECEN
FED
Building Permit Application FEB21 209
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 7331 Marsh Terrace, Port St. Lucie, FL 34986
Legal Description: Marsh Landing at the Reserve-Phase One-Lot 16 (Map 32/21 N)(OR 3959-358, 362)
Property Tax ID#: 3321-804-0023-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing the roof and install new tile
[CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit—check all apply:
�HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1918 S Ft.of First Floor: 1918
Cost of Construction:$ 22000 Utilities:Sewer�Septic Building Height: 8'
OWNER/LESSEE: CONTRACTOR:
Name Francis Doheny Name: Jamie Cisco
Address:7331 Marsh Terrace Company: Sunshine Roofing, LLC
City: Port St. Lucie State:_ Address: PO Box 1083
Zip Code: 34986 Fax: City: Palm City State:FL
Phone No.401-595-5145 Zip Code: 34991 Fax:
E-Mail:fdoheny51 @aol.com Phone No. 772-260-8195
Fill in fee simple Title Holder on next page(if different E-Mail: sunshineroofingllc@gmail.com
from the Owner listed above) State or County License: CM327796
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.
Sig re of Owner/Agent/L s e Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Id0_(+1N COUNTY OF
The foxing instr gent was acknowledged before me The forgoing instrument was acknowledged before me
this_W day of vcac 20 17 by this A?_day of Feb��cy 20_j7 by
CfanCis .bahen� Jamie Cisco
(Name of person acknowledging) (Name of person acknowledging)
(Signat re of Notary Publl -State df Florida) (Signa lire of No ry Public State bf Florida)
Personally Known OR Produced Identification X Personally Known X OR Produced Identification
Type of Identification Produced License Type of Identification Produced
Commission N off Pr,@ Notary Public Stat6$T86rida Commission No pPwP&&c� Notary Public
arilyn Kluegel Marilyn Kluegel
e My Commission FF 230179 MY Commission FF 230179
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE 1
INITIALS X