HomeMy WebLinkAboutBuilding Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
g,Ir. L.uLUC
P L C G L L
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
Residential X
PERMIT APPLICATION FOR:RE_ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 3 �C'� t''v' G'i Irk £ f�� t� eko fT—
Property Tax ID #: 4511-503-0012-000-2 Lot No.6
Site Plan Name: Block No.
Project Name: MICHAEL RIBANDO
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING TILE ROOF
APPLY POLYSTICK TU-MAX DIRECT TO DECK
INSTALL BORAL LIFETIME TILE ROOF SYSTEM
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: 24sq
Cost of Construction: $ 24,350
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof 5112
Utilities: —Sewer _Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name MICHAEL RIBANDO
Name:Joshua Schroeder
Address:143 Pepper) Lane
Company: Marzo Roofing Inc
City. Jensen Beach State:
Zip Code: 34957 Fax:
Phone No.631-766-0781
Address:861 Sw Lakehurst drive
City: port saint lucie State:fl
Zip Code: 34983 Fax:
Phone No 772-871-2489
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail marzoroofinginc@gmail.com
State or County License CCC1331207
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 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:
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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lonrlar nr an attnrnPv hefnre cnmmencine work or recordine vour Notice of Commencement.
Signature of Own ess
rac or as Agent for Owner
Signature of�LORIDA��o
oT er
STATE OF FLORIDA
STATE O
COUNTY OFSLC
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 15 day of MARCH
12024 by
this 15 day of MARCH
2O20 by
Name of person making statement.
Name of person making statement.
Personall Known OR Produced Identification x
Personally Known OR Produced Identification x
Type of de ification
Type of Identification
Pf0 a LICE SE
PfOd UCed LICENSE
(Signature f N tary Public-W&bry
public
(Signature of Notary ublic
PAT
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Stat 'FIprida
Commission No. - zr
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Expires 2/1/2025
-S/NCE le��' Expires 2/1/2025
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