HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE CC?MPLETED FOR APPLICATION:TO BE ACCEPTED
Date: 2i2i16 Permit Number: (� l O�' oyd 0
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: 2987 CONIFIER DRIVE
Legal Description: MONTE CARLO COUNTRY CLUB UNIT 2 LOT 190
Property Tax ID #- 1331-502-0071-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.190
Block No. 2
1.6ETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING TILE ROOF. INSTALL PEEL N STICK UNDERLAYMENT AND IMAGE II
(STANDING SEAM) METAL FROM METAL SALES. ROOF IS 6/12 PITCH
CONSTRUCTION INFORMATION:
Additional work to e nertormed un er t is permit — check
all
apply:
11HVAC
Gas Tank
Gas Piping
Shutters
Q Windows/Doors
Electric 0 Plumbing
Sprinklers
_
Generator
IV/] Roof
Total Sq. Ft of Construction: 4658
S Ft. of First Floor:
Cost of Construction: $ 30,000.00
UtilitiesInSewer
Septic
Building Height: 1
;OWNER/LESSEE:
CONTRACTOR:
Name JAMES & TAMMY WELCH
Name: BRIAN J MALONEY
Company: TREASURE COAST ROOFING
Address: 2987 CONIFIER DRIVE
City: FORT PIERCE State: FL
Address: 1816 SW BILTMORE
Zip Code: 34951 Fax. N/A
City: PORT ST LUCIE State: FL
Phone No. 612-518-5397
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 ILIEN LAWIINFORMATION` L
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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
�1
Signature of Contractor/License H
STATE OF FLORIDA STATE OF FLORIDA I �p
COUNTY OF , � �COUNTY OF L S—
The ing instrumelit a`s acknowledged-1-fore me
thisday of v 20 /by
ame of person aWn�Cvl�¢fging )
(SignaturN�ublic- State of Florida )
a�je�ie�ia4dT?:�S9nd1aj8�
Personally(/Known OR Produce ��tT'la�{idw-`a'
Type of Identificatio Produced
_� o
Commission No. : `iSeailm® N
#FF 122434 ;° Q
Revised 07/15/2014 C°sT��c cF
a.,....,1�ta:�
The for oing instru en was acknowledged before me
thisday of QV , 20 1 Eby
piggett,�rje�or rvotary ruouc- Mate or nonaa 1
Personally Known OR Produced Identificaxipp.
Type of Identification Produced�������y��
Commission No. (��es`i�y 12,2pF�A�,
a z o #FF 122434 �o�° J
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