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ALL APPLICABLE INF MLIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: Permit Number: N11
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: - Roof
PROPOSED LwMPROVEMENT;LOCATION':
Address- 487 Thames Bluff Ridge #D-26
Legal Description: 487 Thames Bluff Ridge #D-26 Tropical Isles (or 27.86-2163) Unit D-26
Property Tax ID #: 3410-508-0103-000-9
Site Plan Name:
Project Name: David Holtje
Setbacks Front Back: _
IRK:
Right Side: Left Side:
Remove Existing Shingle
Install Extreme Metal 5-V 26 Galvalume Striated
Install Soprema Resisto Lastobond Underlayment
3/12 Pitch
Mfr Home in Tropical Isle
Lot No._
Block No.
CO;NSTRUCTIO.N INFQRiMATION,: Y,Y i d zx
,..
Additionalwor to e�ej orme under this permit —check a app y:
OHVAC LJ Gas Tank ❑Gas.Piping _ Shutters a Windows/Doors
Electric O Plumbing Sprinklers Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1700 S . Ft. of First Floor:
Cost of Construction: $ 9500.00 UtilitiesSewer Septic Building Height: 13
OWNER%LESSEE.
CONTRACTOR:
Name David Holtje
Name: Joshua Schroeder
Address: 487 Thames Bluff Ridge
Company: Marzb Roofing Inc
City: Ft Pierce State: FL
Address: 861 A -SW Lakehurst Drive
Zip Code: 34982 Fax:
City: Port St Lucie State: FL
Phone No. 772-467-6510
Zip Code: 34983 Fax_ : 772-465-8829
Phone No. 772-871-2489
E=Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail: marzoroofinginc@gmail.com
from the Owner listed above)
State or County License: CCC-1331207
If value of construction is $2500 or more; a RECORDED Notice of Commencement is requirea.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
State:
Address:
City: State:
City:
Zip; Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone•
City:
Zip: Phone:
I certify that no work or installa ion has commenced prior to the issuance of a permit.
St. Lucie Coun��flyy makes noYYrepre entation that is granting a permit will authorize the permit holder to build the subject structure
SthucturerPleasecconisult wlthpy ur Home OwnnersnAssoc ation and revviiew your deed focovenants
ny rensttrt�ons whichmay applyhibit such
In consideration of the granting f this requested permit, I do hereby agree that 1 will, in all respects, perform the work
in accordance with the approve 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 pro erty. A Notice of Commencement must be record poste e 1 site
before the first ins 'on. If yo n t obtain financing, consult wit d ran do
be f e
commenci r or re o our N 'ce of Commencement.
s
i of Owner essee/Con ractor as Agent for Owner ignature of Contractor/License Holde
STATE OF FLORIDA STATE OF FLORID C '
COUNTY OF /'�- COUNTY L
OF r
The fo oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of XMRK.,,201J_by this -� _, day of QO Vew�1�-e,�!20 jJ_- by
1
(Name of person acknowledg n g)
(Signature of
�2of►.,.,.,�
Personally Known 3
Type of Identificati '� „ • 1
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gun
Commission No. Florida
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
(Name of person acknowleedgin�yA
Type of
Commission
SUPERVISOR I PLANS I VEGETATION I SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW