HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED 1�
Date: �,' L,� ' 1 Permit Number: 1
bECEIVF,.---D
Building Permit Application NOV 2 7 W
Planning and Development Services
Building and Code Regulation Division PER.041171NG
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
PROPO'SED�'i`MV-PR`OVEMENTIOCATIO'N.
Address: Zto Ern lerir, (4 Inv Moro 0. Z_vti e, FG 3 Y9S2
Legal Description: 441Ce S 14Nez4aa-1 /10,4i/2 do ne_
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED D'ESCRIPTION.OF-WORK:
%ear o-F� ex�'s►���9 rood' �rs�4// new S-t/ �er�a r'oo�' Cinc/ uno1crlc>Y�,
CONSTRUCTION INFORMATION::
Add itiona I work to e e orme under this permit — c ec
11HVAC 11 Gas Tank ❑Gas Piping
a
apply:
_ Shutters
a Windows/Doors
11 Electric 0 Plumbing
Sprinklers
Generator
W1 Roof
Total Sq. Ft of Construction: /1 3oe
S .
Ft. of First Floor:
4_900
Cost of Construction: $ .�dd�t
Utilities:cn
Sewer Septic
Building Height: 1
OWNERAESSEE:
CONTRACTOR ,.
Name Neil A&2rn4ie
Name: BRIAN J MALONEY
Address: 20 gederia &JeAje _
City: por tit 3f. Lieve State: FL
Company: TREASURE COAST ROOFING
Address: 1816 SW BILTMORE
City: PORT ST LUCIE State: FL
Zip Code: 3 y/r.SZ Fax: N/A
Phone No. 61 -• 49$ -5717
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:
Name:
Address:
Citv:
Zip: Phone: _
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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
LUIIIIIICIILI119 WUIIL LJJ ICGUIU1119 VUUI IVULIL.0 UI 1.U111111C11L.CIIICIIL.
_ Signature of Owner/ L see/ g t Signature of Contract r/Lic se H
STATE OF FLORIDA v STATE OF FLORID L
COUNTY OF , 5t (� COUNTY OF � Lac
The forgoing instrument was acknowledged before me
this ?flay of A/d L) 20 Jay
J1 r► J V1�1��-�,!
(Name of person ackn g) ,
Op,�_RT BR,
(Signature of
of
Y
Personally Known OR Produced Id
Type of Identificati n roduced
Commission No.
Revised 07/15/2014
®oF,
Lcalionrr4
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(Seal) '�r;r��➢fl Fj s�a;w
The forgoing instrument was acknowledged before me
this ZZday of , 20 ) by
R e-)'*-- L (---1 4
(Name of person ac ledging )
Signature of otary blic-a`te of�pnid�a°
Known
ORyPeoduced Iderriitio1=
i�pnally
,rpe:of Identificati n Produce
,'_.
i&rriission No.
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS