HomeMy WebLinkAbout159 pepper lane applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
° 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
Address: 159 PEPPER LANE
Property Tax ID #: 4511-503-0008-000-1
Site Plan Name:
Project Name: TED DURIG
REMOVE EXISTING TILE ROOF
APPLY POLTSTICK TU-MAX DIRECT TO DECK
INSTALL BORAL LIFETIME TILE ROOF SYSTEM
New Electrical Meter
Second Electrical Meter.
Lot No.2
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing
Total Sq. Ft of Construction: 25 SQ
Cost of Construction: $ 30,000
_ Sprinklers _ Generator _ Roof 6/12 Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
NameTED DURIG
Address:159 PEPPER LANE
City: JENSEN BEACH State:
Zip Code: 34957 Fax:
Phone No.631-935-4151
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:JOSHUA SCHROEDER
Company:MARZO ROOFING INC
Address:,861 SW LAKEHURST DRIVE
City: PORT SAINT LUCIE State: FL
Zip Code: 34983 Fax:
Phone N0772-897-2489
E-Mail MARZOROOFINGINC@GMAIL.COM
State or County LicenseCCC1331207
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not
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 ed on the jobsite before the first inspection. If you ' d to obtain financing, consult
with lender or, t me before commencingwork or recordingo ti a of Commencement.
Rev.
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:
Signature of Owner/ Lessee/Cr-'� �tcn• as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID
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 $ daJyof^JuNe , 2020 by
this s da(y.of JuNe , 2020 by
Name of person making statement.
Name of person makings ment.
Personally Known OR Produced Identification x
Personally Known OR Pr duced Identification x
Type of Id nt ication
Type of Identificati n
Produ CEN
PI'OdUCedLICENSE
t Kenny Harn:ow
Notary Public
(Signature o ary Publa F1�9t5t��r)Public
(Signature of Notary Publi �edfHonda
T State of FloridaCommil
- HNQ87667
Wes
CommissionNo.CO44B�I�iH087667CommissionNo.
ExPI��Pj}y2025
Expires 2/1/2025
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