HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: A �• \ 0 Permit Number:
' _ ; SPANNi_0
- BY RECEIVED
B'Iifdrng Pie it Application APR 0 9 2018
Planning and Development Services
Building and Code Regulation Division ST, 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: 324 NW AIROSO
Legal Description: RIVER PARK UNIT 8 BLK 139 LOT 25
Property Tax ID #: 3419-555-0025-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.25
Block No. 139
I DETAILED DESCRIPTION OF WORK: I
TEAR OFF EXISTING ROOF INSTALL PEEL N STICK FOR METAL AND 5 V CRIMP
CONSTRUCTION INFORMATION:
Additional work to be nertormed under tispermit—check all apply:
11HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator P11 Roof 4112 Roof pitch
Total Sq. Ft of Construction: 1200
Cost of Construction: $ 9,800.00
S Ft. of First Floor: _
Utilities
:Sewer Septic
Building Height: 1
OWNER/LESSEE:
CONTRACTOR:
Name YX A
e
Name: I-
Addre Airnso
Glyd
Company: TREASURE COAST ROOFAG
City: UCie-
State:
Addres : 1816 SW BILTMORE STREET
Zip Code: Cig Fax: 77a — 13-9�C
City: S State: FL
Phone No. _
— Ig DA
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 TITLE HOLDER: _ 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
rommpncine work or recordine vour Notice of Commencement.
Signature of Owner/ see/ ractor as Agent for Owner
Signature of Contra icen
H Ider
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLCUIE
COUNTY OF STLUCIE
The fing instr,,u�j tt a acknowledged before me
MAW; LO
The f r ing instr lme t was
this day of Y
cknowledged efore me
20 by
thisday of 2 by
BRIAN J MALONEY
BRIAN J MALONEY
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identific ion
Type of Identifica
Produced
Produced
u
a.�,,,n,,,
RO-SER; OR
(Sign re of ary Publ' rki Public State ofFlorka
ignatjP6,ofAgVary Public-
artlbtsry Public • State of FI
V + :
• Commisslon1* GG 176972
•� Commission # GG 1769
Commission No. FF122434 V ` MILK Expires May 12, 20
mmission No. FF122434
a,+r� (�oUhm. Expires May 12,
�•�.
Bonded through National Notary Asi
n.
,I ; ;T
Bonded through National Notary
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DATE
COMPLETED
tev. 8/2/17