HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� 111 11 E��, Ep pCT 1 2017 Permit Number:
REC
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 IMPROVEMENT LOCATION:
Address: 13959 GARZA CT FT PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAY
Property Tax ID #: 1306-5000-000-100-4
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION bF WORK:
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF EXISTING ROOF. INSTALL 5V PEEL N STICK METAL ROOF AND UNDERLAYMENT
PITCH 4/12
CONSTRUCTION INFORMATION:
Additional work to e ertormed under this permit —check
EIHVAC Gas Tank ❑Gas Piping
a
apply:
_ Shutters
Q Windows/Doors
11 Electric 0 Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 1500
S . Ft. of First Floor: 1500
Cost of Construction: $ 6,000
Utilities:Sewer
Septic
Building Height: 1
OWNERAESSEE:
CONTRACTOR:
Name Hark .5• 171AUCa►Le_5
Name: BRIAN J MALONEY
Address:1359 GARZA CT
Company: TREASURE COAST ROOFING
City: FT PIERCE State: FL
Address: 1816 SW BILTMORE
Zip Code: 34951 Fax: NIA
City: PORT ST LUCIE State: FL
Phone No. 2.0/— 61&- S$87
Zip Code: 34984 Fax: 772-343-8358
E-Mail: NIA
Phone No. 772-370-9770
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: CCC1330653
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 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 recoroine vour Notice of commencement.
s
_ Signa ure of Ow er Le ee/ ge SignatiTre of Co ct Li nse d r
STATE OF FLORID STATE OF FLORIDA
COUNTY OF ��� L_V1 G� COUNTY OF , 9— LU Q_. 11�'
The fgfgoing instrument as acknowledged before me
this G day of 20 Llby
C
ame of person acly0W)6Aging
(Signature o o ai�i Public- State of Florida )
Personally nown OR Produced Identification
Type of Identificat on Produced 1�®aoN�il911 ,
�q�EF� nf/fc�sOOos
Commission No. ��� Q .•:�assloN��al) ''
;_7-. • ®a®
Revised 07/15/2014 N #FF 122434
The for oing instrumeflt wa acknowledged before me
this ay of 20 by
(Name of person aefiping )
(Signature fA�/' _ __blic-State of Florida )
Personally Known OR Produced Identification
Type of Identifica ion Produced e • ,r
Commission No.
OVa12. gp 'aA.
o A w
o a° #FF 122434
REVIEWS
FRONT
�26YII�ij�``
SUPERVISOR
PLANS
VEGETATION
S. I�E� �Fa°MANGROVE
COUNTER
REV) W
REVIEW
REVIEW
REVIEW
REV E1V1�1''l;'t'A1
REVIEW
DATE
COMPLETE
INITIALS