HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �.�' I 1� Permit Number: - O
E E,iV
Building Permit Application NOV 29 2V17
Planning and Development Services
Building and Code Regulation Division PERM1171NG
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
'�P'ROPMED I`IVI'PROVEM'ENT LOCATIQN. .
Address: NGgI :JV Go2 oo c! F71. Pierce /=L _-4ySSI
Legal Description: /9 3.S yo Ieioin A/E COA OF AtJ HIV of SE . '�/ rvrf U) 5-to f-A
Property Tax ID #: Z V 19— N.31 - 0607 —000 :S Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTIOU_OF WORK
Right Side: Left Side:
TPar a.((' Pkislih9 toa{� Z0.5A4 / new Shlktyh .1 Q uncleelayme_nX
CONSTRUCTION INFORMATION
Additional work to e nertormed under this permit —check all that apply:
11HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: Z S 77 S Ft. of First Floor: 29 77
Cost of Construction: $ 6e �YX9 Utilities: Sewer O Septic Building Height: 1
OWNER/LESSEE:.
CONTRACTOR
Name jea v 13a/ft ,m
Name: BRIAN J MALONEY
Address: c16:S1 irlg
Company: TREASURE COAST ROOFING
City: JEe. .&'® State: FL
Address: 1816 SW BILTMORE
Zip Code: .3yf R / Fax: NIA
City: PORT ST LUCIE State: FL
Phone No. 777- - NO - 'L ST.
Zip Code: 34984 Fax: 772-343-8358
E-Mail: NIA
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.
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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/
Contractor
STATE OF FLORIDA C� 7 \" STATE OF FLORIDA
COUNTY OF ,s1 LM C C' COUNTY OF , (!i— ['l.lr_z:P
The forgoing instrument was acknowledged before me
this-7 ay of IU4�/ 20 >�by
4
(Name of person Okpi)'Oledging )
(Signature i� � �f it�ytaN Public- State of Florida )
aa�,�ial:l�r�rrsr
Personally Known OR Prod�gA *blifipation:
Type of Identification Produced
a� o Moy 1110,
20
Commission No. (Seal) 2Om S o
The forgoing instrument was acknowledged before me
this � day of kV w , 20 _17by
(Name of—p
ng )
(SignaturFAf Notary Public- State of Florida )
Personally Known OR Produced Idepjlfiei�tioln,
Type of Identifica ' n Produced ��°� RCBE/A
v�kL ° °yGOMd+f`35� o9G� y,
Commission No. ; ° (seafpY r,�
0, - 4�
Revised 07/15/2014
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