HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 2/2/16 Permit Number: I
Building Permit Application- RECEIVED
Planning and Development Services , � �'o j 2��7
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 PERMITTING
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential xSt. Lucie County, FL
PERMIT APPLICATION FOR: Roof-
PROPOSED IMPROVEMENT LOCATION:
Address: /a,5 - A 1 Gl ea C
Legal Description: Ic-iV2r Dcr 1G ur)d �� — 8Lk 01-9 fto 1
Property Tax ID#: ?M9 5 15 0 O — a Lot No. l3
Site Plan Name: Block No. 9A
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
P",&C (D4)0( ins4rGll n4tW 54o,,-) i✓3 5ecm t11.ej(J
and U,,)6.e..-- �acf 6 , Ta.. - a�-E' p/g
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit—check all Uia apply:
11HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing OSprinklers Generator Roof Slila
Total Sq.Ft of Construction: S :Ft.of First Floor:
Cost of Construction:$ cl a a b Utilities:H Sewer H Septic Building Height: 1
OW N ERAE,S_S`EE: I t CONTRACTOR:
Name �iC�hr:r c A .i�M Name: BRIAN J MALONEY
Address: iris A tcfcG Company: TREASURE COAST ROOFING
City: :i Or4 64 • 000,Q State:FL Address: 1816 SW BILTMORE
Zip Code: - 3 c/9 5 Fax:NIA City: PORT ST LUCIE State:FL
Phone No. Zip Code: 3.4984 Fax:.772-343-8358
E-Mail:N/A 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 priorto 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.
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_ 7� _J
Signature of owne ssee ge Signature of Contracto Li -rise-H r
STATE OF FLORID STATE OF FLORIDA
COUNTY OF b_- C)- COUNTY OF eS-�— IA_AC%�C
The fo going instrument was ack owledged fore me The forgoing instrument was acknowledged before me
this day of 20 L6y this j—day of ✓1114 20 _jy
(Name of person ackn [edging) (Name of person ac now g)
J POBERTO,�d 0\0WIfIi11'ddo,,
(Signature of Public- (Signature of N ry P blic-State of Flom yGON�:s& • G
May!??G�;L�r
Personally Known (3 god rdantifil�tior� Personally Known OR Produceco- Atiffli - n L _
Type of Identificati-�uc :� r�?9 Type of Identification Produced =_q o #FF •® m
A(s �
Commission No. >�p�ic Sry: 59�P\o;A�ve Commission No. d�'�.�0 "(vPa(hrnces
.1 t ySe .
�'110!�PII0
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS