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ALL APPLICABLE NFO ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application Y r1c� n
Planning and Development Services Fc.,5 te4
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
Address: 6396 Citrus Avenue, Fort Pierce FL 34982
Legal Description: 09 36 40 E 619.80FT.of W634.80FT of N 1/2 of SE 1/4 of SE1/4-less N 139FT of W 239 FT-(4.04AC)
(or 458-152)
Property Tax ID #: 3409-442-0001-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Patrick or Joyce Rogolino
Setbacks Front Back: Right Side: Left Side:
DETAILED D`ES;CRIPTION OF.W` O,,
Remove Existing Tile Lomanco RV
Install Soprema Resisto Underlayment Install Sav & Poly Fresko on Flat Roof
Install IKO Cambridge Shingles
6/12Pitch
11HVAC Li Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 4500
Cost of Construction: $ 21300.00
S Ft. of First Floor: _
Utilities:Sewer Septic
Windows/Doors
✓� Roof 6�12 Roof pitch
Building Height: 13
OWNER%LESSEE,
CONI"RACTOR:
Name Patrick Rogolino
Name: Joshua Schroeder
Address: 6396 Citrus Ave
Company: Marzo 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. 772-971-1830
Zip Code: 34983 Fax: 772-465-8829
E-Mail:
Phone No. 772-871-2489
Fill in fee simple Title Holder on next page (if different
E-Mail: marzoroofinginc@gmaii.com
from the Owner listed above)
State or County License: CC-C1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I C . ...... MKI
S_ =a1
MORTGAGE COMPANY: _ Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms'and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result.in your p twice or
improvements Frk
our pro otce of Commencement must be recorded and po ed on the jo site
before the f' pe If you ' tend to obtain financing, consult with er ran orney bef e
comm n,q or ordin our Notice of Commencement.
as Agent for Owner
cerise
STATE OF FLORIDA / STATE OF FLOW
COUNTY OF ST.•[� COUNTY OF G, Z`�.
The forgoing instrMU.S-r
was acknowledged before me
this q day of 20 jZby
1
(Name of person acknowledging)
(Signature of Nota
-State
-; D
Personally Known
O$'Pri
Type of Identificati
ri
'lFOF FV�.
Commission No.
cao7� sss-o�ss
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this 'L_ day of iltrlt �� , 20 1-7 by
(Name of person
VID VANDERFL IER
@ Personally Known
Type of Identifical
Commission No. 1 (407) 398-0153
DAVID VANDERFL.IE:R
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FRONT
ZONING
SUPERVISOR
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