HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONPlanning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / 2%I/l/ Permit Number: 1 1
Building Permit Application DEC 2017
PERMITTING
Residential Lucie County, FL
R I_E CDEz rl VE:0
PERMIT APPLICATION FOR: Roof
PROPOSED -IMPROVEMIENT LOCATION:
Address: / / Z C' AJdea A/- Pol-f Sf Luce L01- _?y 2-
Legal Description: /ZJuee PGAk on;-i -3 SO ZS Le � .3
Property Tax ID #: p ?'.3 nab - 0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
!=/at- 1Z10o1' /8 Sy z!/z ?' fe'ti
7-e4e reole, ce P/4i
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit —check all apply:
❑HVAC L__I Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑ Generator W1 Roof
Total Sq. Ft of Construction: Z % 1? 3 S Ft. of First Floor: 2 79 3
Cost of Construction: $ �T oo Utilities:cn Sewer ❑ Septic Building Height- 1
OWNER/LESSEE:
CONTRACTOR:
Name D004/63 r=c& le
Name: BRIAN J MALONEY
Company: TREASURE COAST ROOFING
Address: Ili Zr Aid,, Sf
City: /Doi S�Lu�rc State: FL
Zip Code: 3 YssZ Fax: N/A
Address: 1816 SW BILTMORE
City: PORT ST LUCIE State: FL
Phone No.
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.
SUPPL,EIVIENTAL,CQNSTRUCTION LIEN LAWINFORMATIOW .
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
commenciniz work or recordiniz vour Notice of Commencement. _
nt
of
STATE OF FLORID ) STATE OF FLORIDA
COUNTYOF C uciic COUNTY OF , S44— LUIC i e
The forgoing instrum t was acknowledged before me
this day of 20 1-:?by
of person
(Signature of N u Ii(�State of Florida )
Personally Kno n OR Produced 106'.1
Type of Identification oduced v�n 0o
C en\bJl
Commission No. ;(_5 AV 12' zo&��,� e®
The forgoing instrum t was acknowledged before me
this � day of 20 17? by
Personally Known _
Type of Identification
''° 0�F RT A 'd✓,
Commission No.12,
\� Q'p 1(Sep'• �Yi�°�;,.
�y, p Oyu 111JJ�(�/� F :✓
a..L
Revised 07/15/2014 ? '�°r-eh� ��'"s°FC' o� o I'FF 122434 d
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