HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
T L IE
GO,II NT�Y
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: RE -ROOF.
.a 'nsr
Address: 124 SE LUCERO DRIVE PORT SAINT LUCIE FL 34983
Property Tax ID #: 3419-550-0127-000-1
Site Plan Name:
Project Name: JOHN MACKANICS
REMOVE EXISTING SHINGLE ROOF
APPLY RESISTO MODIFIED DIRECT TO DECK
iNSTALL IKO DYNASTY LIFETIME SHINGLE
New Electrical Meter Second Electrical Meter
Residential X
Lot No.4
Block No. 71
Additional work to be performed under this permit— check all that apply:
_Mechanical _ GwTank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator n Roof 3/12 Pitch
Total Sq. Ft of Construction: 26SQ Sq. Ft. of First Floor:
Cost of Construction: $ 12000 Utilities: —Sewer —Septic Building Height:
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NameJOHN MACKANICS
Name:JOSHUA SHROEDER
Address:124 SE LUCERO DRIVR
Company: MARZO ROOFING INC
City: PORT SAINT LUCIE Stater
Address:861 SE LAKEHURST DRIVE
City: PORT SAINT LUCIE State: FL
Zip Code: 34983 Fax:
Phone No.772-236-8205
Zip Code: 34983 Fax:
E-Mail:
Phone No772-871-2489
Fill in fee simple Title Holder on next page (if different
E-Mail MARZOROOFINGING@GMAIL.COM
from the Owner listed above)
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Lommencemeni is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
P=P ESM AI�C'ONSTR`-1 TII®N LI N y W IiNF'
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and p I on the jobsite before the first inspection. If you ' d to obtain financing, consult
with lender or or ey before commencing work or recording o i of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFs1.0
COUNTY OFsLC
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this 7 day of JANUARY , 202Q by
this 7 day Of JANUARY 202® by
S �I
Name of person making statement.
Name o person making statement.
PersoAKn, OR Produced Identification X
Personally Known OR Produced Identification X
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20