HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR
Date: 3/29/18
TO BE ACCEPTED
Permit Number: EJ" 7 ' IJ�JoL
BuildjIQPJe��A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 ommercial
RECEIVED
pI1.CatlOn APR 0�'2018
Pe St. Lucie Count
Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPR'OVEMENTIOCATION.- �, -
-
Address: 2 %%0 _ (16171ee- At- T�d
herne r7L
Legal Description: HOLE IN ONE CIRCLE LOT 6 (0.50
AC) (OR 4025-396)
Property Tax ID #: 1327-803-0006-000-4
Site Plan Name:
Project Name:
Setbacks Front Back: Right
Lot No. 6
Block No.
Side: Left Side:
DETAILED DESCRIPTION -OF WORK:
TEAR OFF EXISTING ROOF. INSTALL NEW
6/12 PITCH % eta,- OPF •2 eX5,1cvig
I
STAND-N-SEAM M�TAL AND NEW UN gRLAYMENT
-Fl&r 2vQr- -PNO re TecA
:CONSTRUCTION INFORMATION: ,5
Additional work to e e orme un ert ispermit-
[IHVAC f, Gas Tank ❑Gas Piping
Electric E] Plumbing Sprinklers
Total Sq. Ft of Construction: 3,666
Cost of Construction: $ 15,000
c ec a apply:
Shutters Q Windows/Doors
Generator W1 Roof 6/12 Roof pitch
S Ft. of First Floor. 3,666
Utilities:Sewer E]Septic Building Height:
OWNER/LESSEE:,-y
CONTRACTORi:
Name Oencr e 14- Cr;D•son -4T
Address: Z i90 Co4;4, A, . �
Name: -;an /77al m&4i
Company: TREASURE COAST ROOFING, LLC
Address: (8/6 ,Sze Ri11;*,..e 5f-
City: r,/, !%icrLe State: L
Zip Code: _�ySS/ Fax:
City: Qoil Sf /_ucie State: FL
Phone No.
Zip Code: 34984 Fax: 772-343-8358
E-Mail:
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
MORTGAGE COMPANY: _ Not Applicable
Name:
I
Name:
Address:
Address:
City: State:
I
City: State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I
OWNER/ CONTRACTOR AFFIDVIT: Application is herlIeby 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)I Codes and St. Lucie County Amendments.
The following building permit applications are exempt front 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
comrnencine work -or recordine vour Notice of Commencement. n
r
Signatur o r/ ee ontractor as Agent for Owner
Signature of Co actor/ ' se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of , 20_ by
this day of , 20_ by
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of ary P is tate of Florida)
(Signature ubl c to of Florida )
Commissi No. -'." •
'�s� ; R BERT BRUNKE
=: Notary
Commis n No.
' « 1 : ` Notary pu RT 9RUNKE
ar.•public - State of
Commission #
' Commisbi1C' State of
' pqy sion �7orida
e° GG 171979°rida
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REVIEWS
FRONT
4S®R
PLANS
VEGETATION
SEA T�a?V
COUNTER
REVIEW
REVI
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17