HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^.^
Date: c/ 1 l� Permit Number:�d —g�7.
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Building Permit Application MAR /9 2017
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: 906 Flood Rd Fort Pierce FL 34982
Legal Description: Silver Heights Lot 3
Property Tax ID#: 3404-803-0004-000-2 Lot No.3
Site Plan Name: Block No.
Project Name: Carol Beasley
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Remove Existing Shingle Roof Lomanco RV
Install IKO Stormshield Underlayment Install JM Manville modified on Flat Roof
Install IKO Cambridge Shingles
2/12 Pitch and Flat
CONSTRUCTION INFORMATION:
Additional work to be nerforme d under this permit—check all that apply:
�HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof 2/12 Roof pitch
Total Sq. Ft of Construction: 2300 S Ft. of First Floor:
Cost of Construction:$ 8215.00 Utilities:Cn Sewer Septic Building Height: 13
OWN ER/LESSEE: CONTRACTOR:r
Name Carol Beasley Name: Gary Marzo
Address:906 Flood Rd Company: Gary Marzo Inc
City: Ft Pierce State:FL Address: 861-A SW Lakehurst Drive
Zip Code: 34982 Fax: City: Port St Lucie State. FL
Phone No.352-516-8930 Zip Code: 34983 Fax: 772-465-8829
E-Mail:Ioosecanon1080@gmail.com Phone No. 772-871-2489
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: CC-0058193
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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.
Cam C s
Signature Owner/Lessee ontractor as Agent for Owner Signature Contractor/Lice a Holder
STATE OF FLORIDA STATE OF FLORIDA '
COUNTY OF f f/a e COUNTY OF
The fo going instrurrigrAwas acki owledged before me The for oing instru nt was ac nowledged before me
this day of 20 / y this�day of pl� ( 1 20 /')�'by
(Name of person cknowled (Name of person ack owled ' g)
aof FloridaSignatu o of Publi ate of Florida ( ' )
Personal) Kno 'vl PU9
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.A'691KPb Personally n n-- DA9P9r�&WEQ�tt� F;i n
Type of Identif Type of Ide 0ic r5 rggIv039hAMiSSION#FF099550
'9'ko...... ' EXPIRES March 9, 2018
Commission N fr��9. 2018 CommissioFloNda ntaryservl��.�
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(407)398-0153 FloridallotaryService.com �
Revised 07/15/2014
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