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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 4-3-184 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number! • �� - sly �y, ^ • St LUCIP �i;�ll�� RECEIVED BUilding Permit Application APR 0 3 2018 Planning and Development Services Building and Code Regulation Division permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 tit, !,ucle County Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Roof PROPOSED.-IMPROUEME�NT LO:CATI;ON Address: 5904 Cassia Dr, Ft Pierce . FL 34982 Legal'Description: 5904 Cassia Dr, Indian River Property Tax ID #.. 3402-610-0461-000-5 Site Plan Name: Project Name: Rita Wagner nit-09-BLK 86 LOT 1 (MAP 34/12S) Setbacks Front Back:. Right Side: Left Side: I ' DETAILED DrESCRIPTION OF WORK:. f. r Lot No. 1 Block No. 86 Remove Existing Shingle ` Install Lomanco Ridge Vent Install Soprema Resisto Underlayment Install PolyFresko on Flat Roof 1/1,2 Pitch Install IKO Cambridge Shingles 5/12 Pitch 0HVAC FiGas Tank gElectric _ 0 Plumbing Total Sq. Ft of Construction: 2900 Cost of Construction: $ 11475.00 ertnis permit—p n❑Gas Piping U all that� apply: Shutters Sprinkler's LJ Generator ScFt. of First Floor: _ Utilities:Sewer Septic aWindows/Doors 0 Roof 5/12 Roof pitch Building Height: 13 OWNER%LESSEE :CONTRACTOR m. Name Rita Wagner Name: Joshua Schroeder Address: 5904 Cassia Drive Company: Marzo Roofing Inc. City: Ft Pierce State: FL Address: 861 A -SW Lakehurst Drive City: Port St Lucie State: FL Zip Code: 34982. Fax: Phone No. 252-497-1966 Zip Code: 34983. Fax: 772-466-8829 E-Mail: Phone No. 772-871-2489 Fill in fee simple Title Holder on next page (if different E-Mail: marzoroofinginc@gmail.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. y SUPPLEMENTALCON.STR`UG"TIO.N tIEN LAW INFORMATt�N: r DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 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 additi ns, accessory structures, s mming p ols, ences, wall ,;signs, screen rooms and accesso uses to nother non esiden ial use WARNING TO NER: Yo r fa lure to Re ord a Notice of Commence nt may r ult in yo payin twice for improveme s to your pr perty. of a of Commencement mu a recor d and p sted o the jobsite before th irst inspect' n. If you int o obtain financing, co ult with I der or an attor ey before' comm cing work o ecording yo r Notic of Commenceme Owner as Agent for Owner 1 STATE OF FLO�I?.� A I STATE OF FLORIDA COUNTY OF 1C/� COUNTY OF is /. (e-,I, The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 3 day of � .(l L . 20 Eby this .� day of Aga L 20 � by 1 (Name of person acknowledging) (Name of person acknowledging ) ( gnature of Notary Put Personally Known Type of Identification Prc Commission No. Revised 07/15/2014 State of Florida ) I ' Signature of Notary Public- State of Florida ) OR Produced Identification' Personally Known ZX OR Produced Identification iced ype of Ide if' a i- P o c d LISA MARIE MONTELEONE l ISA MARIE MONTELtQBlt ($xaJr) Public -State of Florida ommissio Qy�? NotaryPublic-statedfP �I Commission 4 GG 190497 �� ���,r Commission # GCt 94b49i My Comm. Expires Feb 27, 2022 ~' -= ?r M1}C©MM, lExZii0s�Fd&!Y. 2&1 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE CO M P LETE INITIALS