HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE C
Date:
FOR APPLICATION TO BE ACCEPTED
Permit Number:
SGANNED RECEIVED
• By
B u I I "tig #-eft Utpplicat1on MAR 16 7010
Planning and Development Services Permitting Department
Building and Code Regulation Division `* � ud"
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-15, 8 Commercial Residential x
PERMIT APPLICATION FOR: Roof I
PROPOSED -IMPROVEMENT LOCATI;ON.:
Address: 300 DEERWOOD LANE
Legal Description: SANDALWOOD ESTATES S/D BLK D LOT15
Property Tax ID #: 2407-801-0044-000-4 I Lot No.15
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF INSTALLIPEEL N STICK UNDERLAYMENT AND 5 V METAL ROOF
SYSTEM
CONSTRUCTION INFORMATION:
I
Additional work to be nertormed under this p' rmit — check
E1HVAC F Gas Tank ❑Gas Piping
a
app y:
Shutters
Q Windows/Doors
11 Electric ElPlumbing
OS rinklers
_
M Generator
Roof 5�12 Roof pitch
Total Sq. Ft of Construction: 2024
S . Ft. of First Floor:
Cost of Construction: $ 14,800.00
I Utilities
I
Sewer Septic
Building Height: 1
OWN ER/LES'SEf:=
CONTRACTOR:
Name 6
Name: eZA-4-1 "\C, ,
Address:'90t �V00 %bin C
Company: TREASURE COAST ROOFING
.De-
City: fy k\4r1Te St�te q_
Address: 1816 SW BILTMORE STREET
Zip Code: ;3 L/ qS"-A Fax:
City: r?S �, State: FL
Phone No. �% 7a "
Zip Code: 34984 Fax: 772-343-8358
E-Mail: or
Phone No. 772-370-9770
E-Mail: TCROOFINGLLC@GMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CCC1330653
If value of construction Is 52500 or more, a RECORDEQ Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
LIEN LA;
,.rW INFORMATION
DESIGNER/ENGINEER: _ No
Name:
Add ress: 300 DEERWOOD LANE
City: State:
Zip: Phone
I
Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not
Name:
Address: 1616 SW BILTMORE STREET
City:
Zip: Phone: I
I
Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Appli ation is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has comm;ners
nced prior to the issuance of a permit.
St. Lucie County makes no representation that granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home O Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Own rs Association and review your deed for any restrictions which may apply.
In consideration of the granting of this request d permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Flor Ida Building Codes and St. Lucie County Amendments.
The following building permit applications are e� empt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, vyalls, 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 Notiiie of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intendlto obtain financing, consult with lender or an attorney before
commencing work or recordinia vour Notice of Commencement.
Signature of Owner/ Leee/Cdkdctor as Age it for Owner Signature of ContractW1 cen sdq4Wder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LCUIE COUNTY OF STLUCIE
The for!�ng instrument w,as acknowledged before me The for oing instrument wap acknowledged efore me
this day of P(1�R�-h 201& dy this day of M 20�by
BRIAN J MALONEY BRIAN J MALONEY
Name of person making statement I Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of ldentificatjj�rr Type of Identific��
�`;�p i v rityr,` SI n e f to Public- State of Florid'a'� c)?' T
(Signs ry Public- State of a�oa>d��� Tof , (g ®e* = S��
Commission FF122434 a c^"^hIS8/n"'
Commission No. FF122434
PublicR SA
RAKE f tN°� U
Notary Public— taf,pFlon"da s' Clomm(ssfori# Public — GG
Cammisaioo # GG 17&9i2e- =.� Y'Mwr`n .::ct
REVIEWS I FRONT 3. 1JQK1Q1Qa'x5 PLANS VEGETATION M
COUNTER REVIE1No;°^`�r ja!y�t�(IEWF REVIEW REVIEW R
DATE ,,.A�.,� air �.��._• " + !!li9;t�a..
1pPi st4!IR �j;,"
RECEIVED
DATE
COMPLETED
Rev. 8/2/17