HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -1
Date: k'b\ of Permit Number:
SCANNED RECEIVED
Building`-Nft t�b�p`plication FEB 13 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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: 11610 TWIN CREEK DRIVE
Legal Description: TWIN CREEKS I LOT 12 (1.54 AC) (OR 1043-2467)
Property Tax ID #: 2333-601-0012-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.12
Block No.
[DETAILED DESCRIPTION OF WORK: I
TEAR OFF EXISTING ROOF INSTALL PEEL N STICK UNDERLAYMENT AND IMAGE II (STANDING
SEAM) METAL
CONSTRUCTION INFORMATION:
Additional work to jbe nertormed under this permit — check a apply:
E1HVAC LJ Gas Tank ❑Gas Piping Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator Roof 6�12 Roof pitch
Total Sq. Ft of Construction: 3393 S Ft. of First Floor:
Cost of Construction: $ 27,500.00 Utilities:,n Sewer E]Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name LAWRENCE BLANDFORD
Name: BRIAN J MALONEY
Address:11610 TWIN CREEK DRIVE
Company: TREASURE COAST ROOFING
Address: 1816 SW BILMORE STREET
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
City: PORT ST LUCIE State: FL
Phone No. 772-528-6613
Zip Code: 34984 Fax: 772-343-8358
E-Mail: LKB1313@AOL.COM
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:
N am e: aRwt"dAtewy
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:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
is in Home Owners Association bylaws that may restrict or such
which conflict with any applicable rules, or and covenants prohibit
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 our Notice of Commencement.
Signature of ?Yw-ner4_es1ee/kagfractor as Agent for Owner
Signature of Contia—c—tor/LikmA HolideK
STATE OF FLORIDA , 1
1, 4Gilf-
STATE OF FLORIDA
COUNTY OFF Sfi L ►�
COUNTY OF s
The formi�nng instr t was acknowledged before me
�Jday 20 I ZS by
The f r instr was acknowledge before me
this day of 20 by
this of r��
BRIAN J MALONEY
BRIAN J MALONEY
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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DATE
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DATE
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Rev. 8/2/17