HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED e�
Date: �• Permit Number:
Building Permit Application
Planning and Development Services MAR ®9 2017
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: 5041 Tozur Road
Legal Description: 17.34 40 FROM SW COR OF NE 1/4 OF NW 1/4 RUN E 837.54 FT FOR POB. TH CONT E 135 FT, TH
N 24 DEG31 MIN 00 SEC W 109.91 FT,TH W 90FT,TH S 100 FT TP POB(0.26AC)(OR 740-2768: 1262-1349)
Property Tax ID#: _ - 3-1 A / ?� �� �— ®� -- ((`� �' Lot No.
Site Plan Name: Block No.
Project Name: WILLIAM HEARN
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove Existing Shingle Roof Lomanco RV
Install Resisto Modified Underlayment Install Poly Fresko kool roof system on Flat Roof
Install IKO Cambridge Shingles
2/12 Pitch and Flat
CONSTRUCTION INFORMATION:
Additional work to a er orme under this permit—check a apply:
EIHVAC E] Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
1-1 Electric ❑ Plumbing Sprinklers Generator W1 Roof 2/12 Roof pitch
Total Sq. Ft of Construction: 2500 Sq. Ft. of First Floor:
Cost of Construction:$ 5500.00 Utilities: 0Sewer 0Septic Building Height: 13
OWNERAESSE€: CONTRACTOR:
Name William Hearn Name: Gary Marzo
Address:5041 Tozour Rd Company: Gary Marzo Inc
City: Ft Pierce State:FL Address: 861-A SW Lakehurst Drive
Zip Code: 34946 Fax: City: Port St Lucie State:FL
Phone No.772-461-7527 Zip Code: 34983 Fax: 772-465-8829
E-Mail:bnjhearn@aol.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 .
I,[:=
nstruction 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.
2 ' s
Signature caner/Less /Contractor as Agent for Owner Signat,6rLyof Contract License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ,-<;7- LUC/Z COUNTY OF ':J>
The fo ling instrument was ac cnowledged before me The forgoing instrument was knowledged before me
this�day of l 20 by this C� day of �i 20 4L
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(Name of person knowledgi (Name of person ack owlelgi
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(Signature ofNo_ta6 Publi -Sfate of Florida (Signature of Notary Public-State of Florida)
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pR1P� l� i Ic tion Personally Kn Wq•'',pYP "•., .Qg P 6d
Type of I , 4? ISSION#FF099550 l�► �v � ��
Type of Identi cast _�P6duMYdC�
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XPIRES March 9.2� s:.Commiss ,, tarygervi �i Commission N .'' oF °Q'' EXPIRES Mareal)2018
(407)395-0153 Floridallota"rvice.com
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS