HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST, BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Li wa. Permit Number: I (K)
71 t I MT -WIT"M _Mm� aacalvso APR Is IN
Building Permit Application
Planning and Development Services
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: To Select from dropbox, click arrow at the end of line
PROPOSE.IMPROVEMENT LOCATION.
Address: 7906 PENSACOLA RD
Legal Description: LAKEWOOD PARK -UNIT 6- BLK 6 2 (MAP 13/02S) (OR 3474-15)
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Property Tax ID #: 1301-606-0146-000-M V%0 w
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
R, WORK: DETAILED DESCRIPTION
' " PTION
REROOF - TEAR OFF FLAT- INSTALL NEW FLAT ROOF
I
Left Side:
Lot No. 2
Block No. 65
CONSTRUCTION INFORMATION'
Aciclitional worK to b rformed under this permit — cneCK all apply:
0HVAC M Gas Tank I❑]Gas Piping Shutters F]Windows/Doors
11 Electric El Plumbing OSprinklers E]Generator Z Roof
Total Sq. Ft of Construction: 3,556 S . Ft. of First Floor: 1,452
Cost of Construction: $ 2000 Utilities:11 SewerFISeptic Building Height:
IN ER/LES8E E'-:
CONTRACTOR.
NameZbigniew Piszczek
Name: BRIAN'MALONEY
Address: 7906 PENSACOLA RD
Company: TREASURE COAST ROOFING
City: FORT PIERCE State:FL
Address: 1%6 P)Pft
Zip Code: 34951 Fax:
City: PORT %Uj El W State: FL
Phone No.
Zip Code: 349W4 Fax: 7723438358
E-Mail:
Phone No. 7723709770
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: CCC 1330653
if value of construction Is 5Z500 or more, a RECORDED Notice of Commencement is required. kck IT;
I o
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION'.
IEN
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 prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a hermit 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 vour Notice of Commencement.
_ Signature of O Lessee/Age
STATE OF FLORIDA
COUNTY OFsTLUCIE
The forgoing instru ent was acknowledged b fore me
this day of c 201-d
ROBERT BRUI*E
(Name of person acknowledging)
(Signature of Notary Public- State of F � Z
zi-
�aY12,2 FfAo
Personally Known X OR roduced Ident%catron
Type of Identification Produceda ; r, ®' ® y .'
Commission No. 122434 ��•;�iN�( "as SON
••'�
a/
STATE
Revised 07/15/2014
S
Signature of Contractor/Li n4 Holder
STATE OF FLORIDA
COUNTY OFsT LUCIE
The forgoing instrument was acknowledged before me
this 15 day of APRIL 20 by
ROBERT BRUNKE
(Name of person acknowledging) �4iIIU111
°°°°p,OBEAT
(Signature of Notary Public- State W Q&ida )
Personally Known X OR Prof"..
Type of Identification Produced •. iN'0h
X/;
Commission No. 122434 s�(i jAa>4X?F
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
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DATE
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INITIALS