HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR
Date: ,lqrAQ
s�P BY
• S4 Ludo C
Building F
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 C
TION TO BE ACCEPTED pp y/ Q
Permit Number: [ 7-® 3 "q1,f/"']
rmit Application RECENED
MAR 16 1018
Permitting Department
nmercial Residential x St. Lucie County
PERMIT APPLICATION FOR: Roof
OROPOSED IIVIPROVEIVIENT LOCATION:
Address: 80DANIELS STREET (WHITE CITY)
Legal Description: WHITE CITY S/D 05 36 40 FROM NW COR OF LOT 99
Property Tax ID #: 3403-502-0183-000-3
Site Plan Name:
Project Name:
Setbacks Front Back: Right
Left Side:
Lot No. 99
Block No.
DETAILED DESCRIPTION'OF WORK:.
TEAR OFF EXISTING ROOF INSTALL PEEL N ISTICK UNDERLAYMENT AND 5 V CRIMP
CONSTRUCTION INFORMATION:
Add itional work to e e orme under this permit —check
�HVAC El Gas Tank ❑Gas Piping
a
apply:
Shutters
Q Windows/Doors
_
Electric 0 Plumbing
Sprinklers
ElGenerator
Roof 5�12 Roof pitch
Total Sq. Ft of Construction: 2848
S . Ft. of First Floor:
Cost of Construction: $ 14,500.00
Utilities:
o Sewer 0 Septic
1
Building Height: 1
-OWNER/LESSEE:
CONTRACTOR;
Name Ve O,
rd C
Name:
Address:
`n� �'.
Company: TREASURE COAST ROOFIN
City:
(- State:
address- 1816 SW BILTMORE STREET
Zip Code•
Faax:: f
City: Pb�c-A- L e_ State: FL
Phone No.
Zip Code: 34984 Fax: 772-343-8358
E-Mail: %.1
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
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State: I
Zip: Phone I
I
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: - 9*MF w@Re mT
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 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 No
improvements to your property. A Notice of Comi
before the first inspection. If you intend to obtain
commencing work or recording vour Notice of Co
:e of Commencement may result in your paying twice for
encement must be recorded and posted on the jobsite'
financing, consult with lender or an attorney before
mencement.
Signature of Owner/ Lessee/Con or as Agent for Owner
Signature of Contractor ens er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLCUIE
COUNTY OF STLUCIE
The for ing instruMnt was acknowledged before me
The for ng instrun=t yvas acknowledged before me
this (day of 1 , 20 l� by
this day of 20It by
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 Identificatio
Type of Identificati
Produced
;,'Yg57b�PtPP/p/�,
Produced
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Pu (Signatur of Public- State 6'Jf- r`ida '� m
(Signat ry Public- State of Fcoorida4.
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Commission No. , Y2243¢
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Commission No. FF122434 aZ o(Seq = �
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17