HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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g - • • Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:RE-ROOF
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PROPOSEDISM'PRtO / MENTI�CCA
Address: 769 LOMAS STREET
Property Tax ID#: 3419-515-0133-000-7 Lot No.28
Site Plan Name: Block No. 24
Project Name: MAUDE BRANDT
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DETAILED DESCRIPTl01� O u1lRK � } '
REMOVE EXISTING SHINGLE ROOF
APLLY RESISTO MODIFIED DIRECT TO DECK/INSTALL IKO DYNASTY SHINGLES
APPLY SAV/SAP UNDERLAYMENT DIRECT TO DECK(FLAT ROOF )
New Electrical Meter Second Electrical Meter
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers Generator ✓ Roof 2.5/12 Pitch
Total Sq. Ft of Construction: 19SQ Sq. Ft. of First Floor:
Cost of Construction: $ 12,650 Utilities: —Sewer —Septic Building Height:
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OWNsERLESSEE4 , e ICON :
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Name MAUDE BRANDT Name:JOSHUASCHROEDER
Address:769.LAS LOMAS Company:MARZO ROOFING INC
City: PORT SAINT LUCIE State: L_ Address:861 SW LAKEHURST DRIVE
Zip Code: 34952 Fax: City: PORT SAINT LUCIE State:FL
Phone No.954-632-4411 Zip Code: 34983 Fax:
E-Mail: Phone N0772-871-2489
Fill in fee simple Title Holder on next page(if different E-Mail MARZORROFINGINC@GMAIL.COM
from the Owner listed above) State or County License CCC1 331207
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.
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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 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 7inpWub"lic
tce for
improvements to your property. A Notice of Commencement must be re c e records of St.
Lucie County an on jobsite before the first inspection. If yo nten financing, consult
with lend ran atto of a commencin work or recordin r No ' of Coffimeficement.
Ignature�of Owner/Lessee/Contractor as Agent for Owner tignature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
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 26 day of APRIL 2020 by this 26 day of APRIL 2020 by
Name of person making statement. Name of person making statement.
Personally K own OR Produced Identification x Personally Kn wn OR Produced Identification.x
Type of Iden ficatio Type of Identi cation
Produced LICE E ProdU EN
Kenny Ham;ow
Kenny Hanzow Nota Public
(Signature of N ry Public-S A *dMo$ary Public (Signature of Not y Pub is Wof Florida
State of Florida Comm#HHOS7667
Commission No. •� — " 2(6813*#HHOS7667 Commission No. - of Exp(0yl/2025
El Expires 2/1/2025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.