HomeMy WebLinkAboutBUILDING PERMIT APPLICATION\11
ALL APPLICABLE
'' INFO MUST BE COMPLETED FOR, APPLICATION TO BE ACCEPTED
Date: 3 �'(�' �0 Permit Number: v l�'/j v3
ANNFa
� RECEIVED
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Building Permit Application MAR 16 1018
Planning and Development Services Permitting Department
Building and Code Regulation Division st. Lucie count,
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: 763 CYPRESS STREET I
Legal Description: RIVER PARK -UNIT 1 BLK 8 LOT 15 (MAP 34/22S) (OR 3112-190)
Property Tax ID #: 3419-501-0086-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK: It
Right Side: Left Side:
Lot No.15
Block No. 8
CONSTRUCTION INFORMATION:
Additional work to be Dertormed under tispermit—check
0HVAC Gas Tank ❑� Gas Piping
all
that apply:
Shutters
Q
Windows/Doors
Electric Plumbing
Sprinklers
MGenerator
Roof I/I Roof pitch
Total Sq. Ft of Construction: 1534
S Ft. of First Floor:
Cost of Construction: $ 13,gL2�'
Utilities.: _
I
Sewer
Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name JOAN MIRABILE I
Name: BRIAN J MALONEY
Address: 763 CYPRESS STREET
Company: TREASURE COAST ROOFING
City: PORT ST LUCIE State: FL
Address: 1816 SW BILMORE STREET
Zip Code: 34952 Fax:
City: PORT ST LUCIE State: FL
Phone No. 772-294'6468
Zip Code: 34984 Fax: 772-343-8358
E-Mail: 1U
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) I
State or County License: CCC1330653
it value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: °
I
DESIGNER/ENGINEER: Not Applicable
. MORTGAGE COMPANY: Not Applicable
Name: JOAN MIRABILE
Name: BRIAN J MALONEY
Add Tess: 763 CYPRESS STREET I
Address: 763 CYPRESS STREET
City: 'PORT ST LUCIE State: I
City: PORT ST LUCIE State:
Zip: Phone I
I00
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 1616 SW BILMORE STREET I
Address:
City: I
City:
Zip: Phone:
Zip: Phone: I
I
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 pIrior to the issuance of a permit.
St. Lucie Coun 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 exemptjfrom 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 la 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 wod or record i our Notice of Commencement.
Signature of Owner/ ssee ontr for as Agent for Owner
Signature of Con ract cense
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLCUIE
COUNTY OF STLUCIE
The forping inst,14ment was acknowledge before me
a ��
The forgoing instWjxAent was acknowledged before me
2- day J c%`'1 201FS by
this day of J
, 20 by
this of ,
BRIAN J MALONEY
BRIAN J MALONEY
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identifica ion
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
i4�139i44i9V3�3.8�gd ,
(Signaturilcrf Not ublic- State of Qi�Qb3.
(Signat otary Public- State of Florida)
Commission No. FF122434
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Commission No. FF122434 1'e�;l�8810N° /
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M a #FF 122434
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DATE
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RECEIVED
�dBi033114i�!1!!
DATE
COMPLETED
Rev. 8/2/17