HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONFM
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `�
Date: 02/14/18 Permit Number: (��� 03,. 01
- SCANNED
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BUiIding %rrpplication
Planning and Development Services FEB 14 201g
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
�PIZOPOSED �IMPROVEIVIENT�LOCATfON: � : - �� � �' � ' �
Address: 6666 CAMPANILLA FT. PIERCE FL' 34951
Legal Description: SPANISH LAKES FAIRWAYS BLK 53 LOT 13
Property Tax ID #: 1306-500-0243-000-2
Site Plan Name:
Project Name:
Setbacks Front Back
Right Side: Left Side:
Lot No.13
Block No. 53
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF. INSTALL NEW UNDERLAYMENT AND METAL 5-V ROOF
CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit— c ec a apply:
I�HVAC f] Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing []Sprinklers Generator Roof 3�12 Roof pitch
Total Sq. Ft of Construction: 1672
Cost of Construction: $ 8,000.00
S . Ft. of First Floor: 1672
Utilities: 11 Sewer FISeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:'
Name Isaac Robinson & Margaret Blot
Name: BRIAN MALONEY
Address:6666 CAMPANILLA
Company: TREASURE COAST ROOFING
City: FT PIERCE State:FL
Address: 1816 SW BILTMORE ST
Zip Code: 34951 W ✓��
City: PORT ST LUCIE State: FL
l�Fax:
Phone No. y 6 — �_I " �� Z(�
Zip Code: 34984 Fax: 772-343-8358
E-Mail: #V I
Phone No. 772-370-9770
E-Mail: TCROOFINGLLC@GMAIL.COM
Fill in fee simple Tit(a Holder on next page ( if different
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.
e
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: t
Name:
Address eee
FL 34951
Address: �.
City: FrPIERCE
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:q @w=maw"T
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
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 vycLrk or recorcj�ng your Notice of Commencement. - efMl —,
Signature
STATE OF FLORID
COUNTY OF
as Agent for Owner
The forgoing in t was acknowledged before me
this.H day f 20 by
q)`o}�ierson making statement /
Persona K own 2& OR Produced Identification
Type of dentificati
Produced
.;ot�k�'g4EHTf BRUT fP`��<r
(Signature of N ry ic- State of Flo. da°)o*sr12��'oF�A, °
!& 9�
Commission No.(.r'4al)
#FF 122434 0 0�
=`:�.�°•_9.,_•Bonriarllb'N;cR=°r, �
Signature of Co
STATE OF FLORIDA
COUNTY OF
The forgoing
this day
Persona n
Type of dent
Produced
was acknowledged before me
241d by
person making statement
X' OR Produced Identification
(Signature of otary ublic- State of FloTi'oF;.T �91���'j �
d� dS810N�°�F
Commission No. eil)z,2o
warm �� 9m°
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REVIEWS
FRONT
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RISOR
PLANS
VEGETATION
SEATUR>'FIE;�N�,
I/►}`i`/�C,`C'+VE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEViYc,
DATE
"`
``"'``
RECEIVED
DATE
COMPLETED
Rev. 8/2/17