HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2116 Permit Number: � Il
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Building Permit Application
Planning and Development Sery ices
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 1MP ROVE IVIENT'LOCATIO,N <.
Address: quo Sandi G ALt.
Legal Description: IC 111 I� '17C4r 1C —l�f)1 _S
PropertyTax ID#: �� 0 ' SyC� - �ao� 000 - 3 Lot No. 7
Site Plan Name: Block No. 9
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Project Name:
Setbacks Front j Back: Right Side: Left Side:
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DETAILEb 6E-SCRIPTION'OF WORK ".
Tee--0fC exis�i-n Q-oGA and ins4c,,C( new .5 kt.. MQ-4cJ (Lo-o�_ G3 d
� l s 'I.c t d� I�-y min�, �;. o�� ' �1�-� 6L�,� e,.,�1 ��5 neu
CONSTRUCTION INFORMATION
Additional workto e e orrrie,. under this
permit—check all apply:
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0HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric F�Plumbing ❑Sprinklers Generator FJ Roof 51 d
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Total Sq. Ft of Construction: lC,5-r S . Ft.of First Floor:
Cost of Construction:$ �!,do o Utilities:Sewer Septic Building Height: 1
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OVI/N.ER/LESSEE CONTRACTOR:
Name 1 o 5 r-n b %oW e Name: BRIAN J MALONEY
Address: D 0 i c. A6e, Company: TREASURE COAST ROOFING
City: G • LU ! State:FL Address: 1816 SW BILTMORE
Zip Code: Falx:N/A City: PORT ST LUCIE State:FL
Phone No. Zip Code: 34984 Fax: 772-343-8358
E-Mail:NIA Phone No. 772-370-9770
Fill in fee simple Title Holder on next page(if different E-Mail: TCROOFINGLLCQa 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. -
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: I State: City: State:
Zip: Phone: I Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: I Zip: Phone:
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I certify that no work or installation has commenced prior to the issuance of a permit.
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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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_Signatur of se Age Signature Con r/ ice a Hold r
STATE OF FLORI STATE OF FLORIDDA,
COUNTY OF 1 COUNTY OF . -F C
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The forgoing instrumAnt was cknowledged)efore me The for oing instrume was knowledged before me
this ,day of L 20 1 1 by this day of' 20 by
C4 (IS
(Name of person ackn led ' )' (Name of person ack dging)
A4E�t;�oeerr�a
,�v.',, �;•p0�l7F7gd�s69's' 'o,eS�Na�PaPuog��p•a�o
(Signature of otary li Statei of Fjot j'�,F:;,,p1q� '?�°°°.oy s (Signature o ry Public-State of Floridan
v6bZG4 JJ#
Personally Known OR Proded.ldentifiyawn Personally Known OR Produced Idojjlitifia', d� ��'
Type of Identification Produced �'� = Type of Identification Produced •°ad ���
Commission No. Commission No. SeaIJ, ,#j,, °'
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS