HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4
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ALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: _ Permit Number: ��(Dq_C)JV
SCAM
• - RECEIVED
Bui ding Permit Application APR 0 9 2018
Planning and Development Services
Building and Code Regulation Division §T. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 6663 GAVIOTA
Legal Description: SPANISH LAKES FAIRWAYS BLK 38 LOT 16
Property Tax ID #: 1306-500-0031-000-3
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.16
Block No. 38
DETAILED DESCRIPTION OF WORK: I
TEAR OFF EXISTING ROOF INSTALL PEEL N STICK FOR METAL AND 5 V CRIMP
CONSTRUCTION INFORMATION:
Additional work to e ne rmed under tispermit—check all apply:
DHVAC 0 Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
0 Electric 0 Plumbing O Sprinklers Generator W] Roof 4�12 Roof pitch
Total Sq. Ft of Construction: 2712
Cost of Construction: $ 25,500.00
Sq. Ft. of First Floor: _
Utilities: USewer Septic
Building Height: 1
OWNER/LESSEE:
CONTRACTOR:
Name 14jeO
ej2geZ
Name: 87�
Company: TREASURE COAST ROOFIN
Addrqa5:
City: C% cize State
Zip Code: Fax: /-
Addres 1816 SW BILTMORE STREET
City: L C� State: FL
Phone No. 6 1 %'a0 J' S 1
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:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 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
-ouirtiericlrig wurK Vr reWil.11flg yUlll IYUUCC UI I.UI III IICI 11.1=111CIM.
Signature of Owner/ ee/C ntr ctor as Agent for Owner Signature of Contract censEQLgAer
STATE OF FLORIDA
COUNTY OF STLCUIE
The forgoing instr,�j� t was acknowledged before me
this day of ►' Y ► 20ff by
BRIAN J MALONEY
Name of person making statement
Personally Known Q9 Produced Identification
Type of Identificat'
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instru e t acknowledged before me
`� J
this day of 20_ by
BRIAN J MALONEY
Name of person making statement
Personally Known x OR Produced Identification
Type of Identif Y q
(Signatu{e P 11��� + e NfolFmlo�/fl T apubilNt of Florldd ry NKE(Si t otary a No ary PU RT BRUNKE
(/ . •; Comm I GG 176972 C mmisslon No. FF1 it's Commistate of Florida
Commission No. FF ( I 10G 176972
y Comm. Expires May 12, 2022 %.;F,FI•,�•o• My Comm. Expires May
"Mist, Bonded through National Nolary Assn. Bonded through National p 12, 2022
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17