HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.i
ALL APPLICABLE (INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `
Date: 24246' il�t° 1�`b Permit Number:
50ANNED
By % RECEIVED
• St Lucie County
Building Permit Application JAN 2 6 2018
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 1 Commercial Residential x
PERMIT APPLICATION FOR: Roof
PROOPOSED..-,I'MPROVEMENT LOCATION
Address: 7503 PACIFIC AVE
I
Legal Description: LAKEWOOD PARK UNIT 4 BLK 39 LOT 22
Property Tax ID #: 1301-604-0225-010-7 j Lot No. 22
Site Plan Name: ! Block No. 39
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
TEAR OFF EXISTING ROOF INSTALL PEEL N STICK AND 5 V METAL ROOF SYSTEM. ROOF
PITCH 5/12
CONSTRUCTION INFORMATION.
-
..
Additional work to b ertormed under this permit— check
❑HVAC []Gas Piping
all
apply:
Shutters
❑ Windows/Doors
L_J
Gas Tank
_
❑Electric ❑ Plumbing
❑Sprinklers
❑ Generator
17 Roof
Total Sq. Ft of Construction: 1886
S.Ftj. of First Floor:
Cost of Construction: $ 6,800.00
Utilities: L
Sewer
❑
Septic
Building Height: 1
;01NNER%LESSEE: - t�
CONTRACTOR:
Name MICHAEL F BOYLE
Name: BRIAN J MALONEY
Address: 7503 PACIFIC AVE
Company: TREASURE COAST ROOFING
City: FORT PIERCE State: FL
Address: 1816 SW BILTMORE
Zip Code: 34951 Fax. N/A
City: PORT ST LUCIE State: FL
Phone No. 772-501-3130
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
tiA � C
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL- CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
I
Address:
City: State:
Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 your Notice lof Commencement. _ !�
_ Signature of Owner/ Leese/A ent Signature of Contractor/LicelZs Hold
STATE OF FLORIna STATE OF FLORID`
COUNTY OF_, COUNTY OF `ari
The forgoing instrument was acknowledged before me The forgoing instrumptwas acknowledged before me
this 1q day of ,� G�r� 20 lby this � day of _,�G� V� 20 (� by
�na� I�V1�1�rn o� _ More
(Name of person ac oing) (Name of persona o dging )
State of Florida )
Personally Known OR Produce4lkid t tVfI' a, n
Type of Identifica on Produced •�a°`
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Commission No. a paf��a 9N
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(Signature fftaLry Public- State of Florida )
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Personally Known OR Produced Identif' ation
Type of Identifica wn Produced , °ae,\1t611'�l�dddd91,•,
Commission No. r Qo # NEro�°
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