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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �{ /, Date: Permit Number: I U 3 Building Permit Application Planning and Development Services 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: Roof i PROPOSED IMPROVEMENT LOCATION.: Address: 147 Pepper Lane, Jensen Legal Description: 147 Pepper Ln, Bay Tree Lot 5 (OR 3941-116) Property Tax ID #: 4511-503-0011-000-5 Site Plan Name: Project Name: Erik Thomson Setbacks Front Back: Right Side: Left Side: RECEIVED MAR 14 2018 Permitting Departm St. Lucie County Lot No. 5 Block No. DETAILED DESCRIPTION OF WORK: Remove Existing Tile 2 Story Home Install Poly Glass TU Plus 30 Year Install Boral Villa 900 5/12 Pitch CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit — cneck all apply: 11HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors 11 5/12 Electric 0 Plumbing Sprinklers � Generator W1 Roof Roof pitch Total Sq. Ft of Construction: 2400 S . Ft. of First Floor: Cost of Construction: $ 18250.00 Utilities:Sewer OSeptic Building Height: 26 OWNER/LESSEE: CONTRACTOR: Name Erik Thomson Name: Joshua Schroeder Address: 147 Pepper Lane Company: Marzo Roofing Inc City: Jensen Beach State: FL Address: 861 A -SW Lakehurst Drive City: Port St Lucie State: FL Zip Code: 34957 Fax: Phone No. 561-670-8985 Zip Code: 34983 Fax: 772-465-8829 E-Mail: Phone No. 772-871-2489 Fill in fee simple Title Holder on next page (if different E-Mail: marzoroofinginc@gmaii.com from the Owner listed above) State or County License: CCC-1331207 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CCINS�1 UCfii'CiN IJLN LAW 11VF© 1 IATION. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: i Name: Address: ! Address: City: State: City: State: I Zip: Phone: ! I Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable, BONDING COMPANY: _Not Applicable Name: Name: Address: I Address: City: I City: Zip: Phone: Zip: Phone: I I I certify that no work or installation has commenced prior tl 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 resp ts, perform the work in accordance with the approve s, the Flori uilding Codes and St. Lucie County Ame me ts. The following building per appli ation re exem t from undergoing a full concurren revie . room accessory structures, s coming p ols, ences, wall , signs, sl reen rooms and accesso uses to notheres (an ial use WARNING TO NER: Yo r fa lure to R ord a Notice of Commence nt may r ult in ywice for improveme s to your pr perty. of a of Commencement mu a recor d and phe jobsite before th irst inspect' n. If you int o obtain' financing, co ult with I der or an efore comm cinR work o ecording o r Notic of Commenceme Owner, STATE OF FLO .IAA COUNTY OF T as Agent for Owner The fjooing instr meet waycknowledged before me this �--F- day of J 20 / by r STATE OF COUNTY OFORIDA Iyr /ae.,fe The 7fing instr ent was acknowledged before me thisday of �i 20 by 1 ame///pf person acknowledging) I (Name of person acknowledging)A— .-1)11/7 r A � , —J (_—, - (Sig ature of Notary Pub' - State of Florida ) Personally Known :r OR Produced Identification Type of Identification Produced LISA MARIE MONTELI >, •� 'z Commission No. .,�, (Siealr)/Public - State of sr Commission 0 GG 19 My Comm. Expires Feb Revised 07/15/2014 (Siinature of Notary Public- State of Florida ) Personally Known 6X OR Produced Identification Tvpe of Identifica or,>,PLoc�lcad� LISA MARIE MONT15LI r NotacyPublic-Stateof p•; Commission # CIO 44i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW j REVIEW REVIEW REVIEW REVIEW DATE 3A151�� ! COMPLETE INITIALS