HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Cyr,
Date: �41z
CA IN Permit Number: I D oq —
Building Permit Application 4;p o
Planning and Development Services peh�i1NIP
Building and Code Regulation Division St "79 p
2300 Virginia Avenue, Fort Pierce FL 34982 �4c�e C°" )7
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x o°''il- ear
PERMIT APPLICATION FOR: Roof 1
PROPOSED IMPROVEMENT LOCATION:
Address: 610 Beach Ave, Port St Lucie FL 34952
Legal Description: River Park Unit 2-BLK 13 LOT 15(MAP 34/22N) (OR 512-2621:2224-313)
Property Tax ID #: 3419-510-0111-000-2
Site Plan Name:
Project Name: Anthony C Morena
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right
Remove existing Membrane on Flat Roof
Install PolyGlass/PolyFresko
1221 SQ FT
0/12 Pitch
Left Side:
Lot No. 15
Block No. 13
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit — c ec a apply:
C�HVAC 11 Gas Tank ❑Gas Piping Shutters 11
Windows/Doors
Electric 0 Plumbing ❑Sprinklers] Generator W1 Roof 0/12 Roof pitch
Total Sq. Ft of Construction: 1221
Cost of Construction: $ 4475.00
S . Ft. of First Floor: _
Utilities:cnSewer Li Septic
Building Height: 13
OWNER/LESSEE:
CONTRACTOR:
Name Anthony Morena P
Name: Joshua Schroeder
Company: Marzo Roofing Inc
Address:610 Beach Ave o
City: Port St Lucie a State: FL
Zip Code: 34952 Fax:
Phone No. 772-528-3992
E-Mail:
Address: 861 A -SW Lakehurst Drive
City: Port St Lucie State. FL
Zip Code: 34983 Fax: 772-465-8829
Phone No. 772-871-2489
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: marzoroofinginc@gmail.com
State or County License: CCC-1331207
1
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEM'.ENfiAL-CONSTRU.CTIO'N,tiEN. LAW INFORIVIATfON:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: I I Name:
City:
Zip:,
Phone:
Address:
te: City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Appliccable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced
St. Lucie County makes no representation that is gran
which is in conflict with any applicable Home Owners
structure. Please consult with your Home Owners Ass
In consideration of the granting of this requested per
in accordance with the approve s, the Flori t
The following building per appli ation re exem
accessory structures, s mming p olsnces, wall ,
WARNING TO NER: Yo r fa lure to Re ord
improveme s to your pr perty. of a of
before th irst inspect' n. If you int 00
comm cing work o ecording yo r Notic
Owner/Lessee/Contractor as Agent Tor
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
or to the issuance of a permit.
g a permit will authorize the permit holder to build the subject structure
sociation rules, bylaws or and covenants that may restrict or prohibit such
iation and review your deed for any restrictions which may apply.
I do hereby agree that I will, in all resp ts, perform the work
ling Codes and St. Lucie County Amei e ts.
om undergoing a full concurren revie .room additi ns,
is, screen rooms and accesso uses to nother non esiden ial use
Notice of Commence nt may r uit in yo payin twice for
)mmencement mu a recor d and p sted o the jobsite
ain financing, co ult with I der or an attor ey before
�tommenceme .
I
STATE OF FLOPJ9A
COUNTY OF l-fitCl
i
i
The forgoing instrument as acknowledged before me 'I
this , % i day of 20 Eby
1 I
(Name of person acknowledging)
I
/f/j
��1.
Fe of Notary PubX State of Florida )
Personally Known V, OR Produced Identification
Type of Identification Produced
LISA MARIE MONTELEONE
Commission No.
�1 % (Saal Public - State of Florio
.,`� ;
ee Commission � GG 190497
My Comm. Expires Feb 27. 20
Revised 07/15/2014
Contractor/License Holder
STATE
NTY OFFLORIDA
COUIa
The forgoing instrument was acknowledged before me
this 3 day of 20 by
(Name of person acknowledging)
gnature�of Notary Public- State of Florida )
Personally Known OR Produced Identification
Tvoe of Ide if a •oa PLoc icgd_
LISA MARIE MONTEL�i1�i�
�
k� � :_ Notarypsibl is - State trf � �
a—�. Commission 4 W 10649Y
="'��;` M�Comsr,,ffxpiidsFp'l5'2y,2b2i
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