HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
I�IICIE
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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
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Address: 157 NE PENLYNN AVE PORT SAINT LUCIE FL 34983
Property Tax ID #: 3419-570-0117-000-0
Site Plan Name:
Project Name: JOAN MARZEC
Lot No.19
Block No. 81
REMOVE EXISTING, APPLY MTS UNDERLAYMENT DIRECT TO DECK ,INSTALL 5V METALL ROOF SYSTEM
APPLY 2 PLT UNDERLAYMENT OF SAV SAP ( FOR THE FLAWROOF )
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
Electric _ Plumbing
Total Sq. Ft of Construction: 26SQ
Cost of Construction: $ 16,850
NameJOAN MARZEC
Address:157 NE PENLYNN AVE
Sprinklers _ Generator Roof 3/12
Sq. Ft. of First Floor:
_ Pond
Utilities: —Sewer —Septic Building Height:
City: PORT SAINT LUCIE State:(.._
Zip Code: 34983 Fax:
Phone No.732-614-2196
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Pitch
Names I,_b- l'-3-0
Company: MARZ ROOFING INC
Address:861 SW LAKEHURST DRIVE
City: PORT SAINT LUCIE State: FL
Zip Code: 34983 Fax:
Phone N0772-871-2489
E-Mail
State or County LicenseC
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 lender or an attornev before commencine work or recording vour Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORID
C
COUNTY OF - —
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 39day of 2QJ by
Name of personta em nt.
Personally Know -AM OR P�QduceJ� Identification L �/
Type of Identific i n Pr ced !�►
(Signat ic- State of Florida)
Commission No. (Seal) S
y Kenny Hanzow
Notary Public
c State of Florida
a
Comm# HH087667
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