HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO M ,SIT BE/COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2/16 C Permit Nurnber:
S -' =' RECEIVED OCT 12 2017
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 — yv.. tia,
PROPOSED IMPROVEMENT LOCATION:
Address: 6011 MYRTLE DRIVE
Legal Description: INDIAN RIVER ESTATES UNIT 8 BLK 66 LOT 29
Property Tax ID #: 3402-609-0527-000-2
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:.
Lot No. 29
Block No. 66
TEAR OFF EXISTING ROOF INSTALL PEEL N STICK UNDERLAYMENT AND 5 V METAL ROOF.
ROOF PITCH IS 6/12
CONSTRUCTION INFORMATION:
Add itiona I work to e e orme under this permit —check a apply:
11HVAC E] Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3032
Cost of Construction: $ 11,200.00
S Ft. of First Floor: _
Utilities: Sewer Septic
Building Height: 1
OWN ERAESSEE:
CONTRACTOR:
Name SUSAN LAVENTURE
Name: BRIAN J MALONEY
Address: 6011 MYRTLE DRIVE
Company: TREASURE COAST ROOFING
Address: 1816 SW BILTMORE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax. N/A
City: PORT ST LUCIE State: FL'
Phone No. 772-323-5778
Zip Code: 34984 Fax: 772-343-8358
E-Mail: N/A
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
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 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 recording vour Notice of Commencement. _
_ Signature of Owner/
STATE OF FLORID STATE OF FLORID%��
COUNTY OF ,;� C G.� COUNTY OFF
The for oing instru nt as acknowled efore me The for. oing instrum nt as acknowledged before me
this day of 2by this May of 20 1'2 by
Personally Known iC' OR ProducEd:d�% ffF¢�n
Type of Identificati "P' oduced .�� 6 � Kk
(Name of persdy'(ponowledging )
ry Public- State of Florida )
Personally Known C OR Produced Identification
Type of Identification Produced a6111i^111"1214
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