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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/2/16 Permit Number: � !� 6 -�
Building Permit Application AW 14
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ASt. Lucie
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential- --
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 8083 SPENDTHRIFT LANE
Legal Description: SABAL CREEK PHASE II LOT 98
Property Tax ID #: 3321-502-0047-000-7
Site Plan Name:
Project Name:
Setbacks Front Back: _
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 98
Block No.
TEAR OFF EXISTING TILE ROOF. INSTALL PEEL N STICK UNDERLAYMENT AND IMAGE II
METAL 6111
CONSTRUCTION INFORMATION:
Additiona I work to be ne rmed under tis permit —c ec all apply:
HVAC LJ Gas Tank ❑Gas Piping _Shutters a Windows/Doors
1
11 Electric 0 Plumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: 4464
Cost of Construction. $ 35,000.00
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height: 1
OWN ERAESSEE:
CONTRACTOR:
Name HAROLD W BILLINGSLY
Name: BRIAN J MALONEY
Company: TREASURE COAST ROOFING
Address: 8083 SPENDTHRIFT LANE
Address: 1816 SW BILTMORE
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax- N/A
Phone No. %0 - ba g- pS 3 1
City: PORT ST LUCIE State: FL
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.
SUPPLE(VIENTAL 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.
v Z�_ Z:�:h s
_ Signature of Ow er ess e/ nt Signature of Contract&NcenseaWer
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S"C- COUNTY OF Sk % cACi 2
The forgoing instrumenr, was acknowledged before me
this day of It l 20 Dby
Personally Known OR Produced Identification
Type of Identification Produced�cs Pr311�n,: %rS
Commission No. �_ � °y�� q0FkA°° �,
The for oing instrup�n was acknowledged before me
this %K day 20 L_? by
J
(Name of perso9ae�nowledging )
,.-
(Sign ure tary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identificati n Produced . ,.WlAa p�. _
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